REVISE WELLNESS SERVICES NPI 1760233860

NPI Information

  • NPI: 1760233860
  • Provider Name: REVISE WELLNESS SERVICES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 17806 IH 10 W STE 300
    SAN ANTONIO, TX
    ZIP 78257
  • Phone: (210) 953-8566

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NPI Details

REVISE WELLNESS SERVICES is a psychiatric/mental health nurse practitioner in San Antonio, TX. REVISE WELLNESS SERVICES NPI is 1760233860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17806 IH 10 W STE 300
SAN ANTONIO, TX
ZIP 78257-222
Phone: (210) 953-8566
Fax: (830) 264-8021

The provider's authorized official is Ciddet R Abrahams .
The authorized official title is Corporate Officer and has the following contact phone number (210) 953-8566.

The enumeration date for this NPI number is 3/28/2024 and was last updated on 4/4/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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