| Revive Med Partners, Llc | |
|
2570 Fm 407 Ste 160, Highland Village, TX 75077-3055 | |
| (214) 930-1659 | |
| Not Available |
| Full Name | Revive Med Partners, Llc |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 2570 Fm 407 Ste 160, Highland Village, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669237798 | NPI | - | NPPES |
| Provider Name | Aiman Shokr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164748810 PECOS PAC ID: 1951545219 Enrollment ID: I20150728004786 |
| Provider Name | Jenny Bernier Fugere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679697627 PECOS PAC ID: 3072852615 Enrollment ID: I20190227000097 |
| Provider Name | Brian K Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932744950 PECOS PAC ID: 8921433731 Enrollment ID: I20200123002301 |
| Provider Name | Kyle S Kalra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568967909 PECOS PAC ID: 7719237346 Enrollment ID: I20211013001306 |
| Provider Name | Mayssara Jubori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518317148 PECOS PAC ID: 7214267616 Enrollment ID: I20220817000189 |
| Provider Name | Khairunissa H Meghani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235815002 PECOS PAC ID: 6608221973 Enrollment ID: I20231006002468 |
| Provider Name | Amanda Leigh Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700275724 PECOS PAC ID: 6406174713 Enrollment ID: I20240719000123 |
| Provider Name | Keesha Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255047049 PECOS PAC ID: 1355876798 Enrollment ID: I20241122000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Med Partners, Llc 916 Saint Mark Dr, Murphy, TX 75094-5120 Ph: () - | Revive Med Partners, Llc 2570 Fm 407 Ste 160, Highland Village, TX 75077-3055 Ph: (214) 930-1659 |