REVIVE CHIROPRACTIC AND PERFORMANCE NPI 1114784808

NPI Information

  • NPI: 1114784808
  • Provider Name: REVIVE CHIROPRACTIC AND PERFORMANCE
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4655 SWEETWATER BLVD STE 200
    SUGAR LAND, TX
    ZIP 77479
  • Phone: (281) 909-7317

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NPI Details

REVIVE CHIROPRACTIC AND PERFORMANCE is a chiropractor in Sugar Land, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REVIVE CHIROPRACTIC AND PERFORMANCE NPI is 1114784808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4655 SWEETWATER BLVD STE 200
SUGAR LAND, TX
ZIP 77479-015
Phone: (281) 909-7317

The provider's authorized official is David Brazzell .
The authorized official title is Owner and has the following contact phone number (281) 909-7317.

The enumeration date for this NPI number is 2/29/2024 and was last updated on 2/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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