Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVITADERM PLLC
Active OrganizationREVITADERM PLLC is a Registered Nurse organization located in NEWARK, Texas. NPI 1518770494 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · NEWARK, TX
Registration Details
- NPI Number
- 1518770494
- Provider Type
- Organization
- NPI Issued
- Jan 27, 2025 (1.5442852424708 yrs)
- Last Updated
- Jan 27, 2025
Practice Information
- Address
-
110 CHEYENNE TRL SNEWARK, TX, 760713202Browse TX providers · Browse ZIP 76071
- Phone
- 8179925066
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.