ADVANCED HEALTH REVISION PLLC NPI 1235813114

NPI Information

  • NPI: 1235813114
  • Provider Name: ADVANCED HEALTH REVISION PLLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 9330 POPPY DR STE 203
    DALLAS, TX
    ZIP 75218
  • Phone: (972) 978-2317

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NPI Details

ADVANCED HEALTH REVISION PLLC is a gerontology nurse practitioner in Dallas, TX. ADVANCED HEALTH REVISION PLLC NPI is 1235813114. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9330 POPPY DR STE 203
DALLAS, TX
ZIP 75218-621
Phone: (972) 978-2317
Fax: (214) 324-6690

The provider's authorized official is Kimberly R Neely .
The authorized official title is Owner / Nurse Practitioner and has the following contact phone number (972) 978-2317.

The enumeration date for this NPI number is 6/12/2023 and was last updated on 10/17/2023.

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
1363LG0600XNurse PractitionerGerontologyYes

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: 3/30/2025

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