REVIVE F W NPI 1306460266

NPI Information

NPI: 1306460266
Provider Name: REVIVE F W
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
10907 MARTINDALE RD
HOUSTON, TX
ZIP 77048
Phone: (713) 417-9092
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REVIVE F W is a rehabilitation and substance use disorder clinic center in Houston, TX. REVIVE F W NPI is 1306460266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10907 MARTINDALE RD
HOUSTON, TX
ZIP 77048-011
Phone: (713) 417-9092

The provider's authorized official is Jacqueline Miller .
The authorized official title is Director and has the following contact phone number (713) 417-9092.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 4/14/2023.

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	Primary
1	175T00000X	Peer Specialist		No
2	261Q00000X	Clinic/Center		No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	324500000X	Substance Abuse Rehabilitation Facility		No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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: 5/5/2024

NPI Synchronization or Removal

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