REVIVE PCMS HIGHLAND PARK PLLC NPI 1124909353

NPI Information

  • NPI: 1124909353
  • Provider Name: REVIVE PCMS HIGHLAND PARK PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3330 DOUGLAS AVE
    DALLAS, TX
    ZIP 75219
  • Phone: (972) 236-7060

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NPI Details

REVIVE PCMS HIGHLAND PARK PLLC is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REVIVE PCMS HIGHLAND PARK PLLC NPI is 1124909353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3330 DOUGLAS AVE
DALLAS, TX
ZIP 75219-717
Phone: (972) 236-7060

The provider's authorized official is Ali Alheleji .
The authorized official title is Ceo/owner and has the following contact phone number (972) 236-7060.

The enumeration date for this NPI number is 9/12/2025 and was last updated on 9/12/2025.

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
1207Q00000XFamily MedicineYes

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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