REVITAL HEALTH AND WELLNESS PLLC NPI 1790548105

NPI Information

  • NPI: 1790548105
  • Provider Name: REVITAL HEALTH AND WELLNESS PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5550 WARREN PKWY STE 110
    FRISCO, TX
    ZIP 75034
  • Phone: (631) 220-8213

Map and Directions

Get Directions

NPI Details

REVITAL HEALTH AND WELLNESS PLLC is a primary care clinic center in Frisco, TX. REVITAL HEALTH AND WELLNESS PLLC NPI is 1790548105. The provider is registered as an organization entity type.

The provider's business location address is:

5550 WARREN PKWY STE 110
FRISCO, TX
ZIP 75034-399
Phone: (631) 220-8213

The provider's authorized official is Nancy C Ifemesia .
The authorized official title is Aprn and has the following contact phone number (631) 220-8213.

The enumeration date for this NPI number is 1/31/2024 and was last updated on 9/23/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.