| Revive Wound Care Pllc | |
|
28496 Ranch Road 12 Ste 200 # 105 Dripping Springs TX 78620 | |
| (951) 760-6216 | |
| Not Available |
| Full Name | Revive Wound Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28496 Ranch Road 12, Dripping Springs, Texas |
| Authorized Official Name and Position | Johannes Neuendorf (OWNER) |
| Authorized Official Contact | 7608098654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wound Care Pllc 13423 Blanco Rd Unit 3255 San Antonio TX 78216-2187 Ph: (951) 760-6216 | Revive Wound Care Pllc 28496 Ranch Road 12 Ste 200 # 105 Dripping Springs TX 78620 Ph: (951) 760-6216 |
| NPI Number | 1659199008 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 5496284291 |
|---|---|
| Medicare Enrollment ID | O20250227004010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659199008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Johannes Neuendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154388601 PECOS PAC ID: 0840251799 Enrollment ID: I20041023000084 |
Ralph S. Sharman, Jr., Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Mercer, Suite H, Dripping Springs, TX 78620 Phone: 512-858-2997 Fax: 512-858-2987 | |
Lewis Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13830 Sawyer Ranch Rd, Ste 102, Dripping Springs, TX 78620 Phone: 512-301-6400 Fax: 512-301-6401 | |
Todd D. Buchanan, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Mercer, Dripping Springs, TX 78620 Phone: 512-858-4166 | |
Faith Holmes.m.d. & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 W Highway 290, Suite A, Dripping Springs, TX 78620 Phone: 512-858-2818 | |
Ascension Seton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620 Phone: 512-324-9570 Fax: 512-324-9573 | |
Frederic J. Wilson, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Us Hwy 290 W Bldg B, Suite 400, Dripping Springs, TX 78620 Phone: 512-858-7474 | |
Tnd Holdings, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13830 Sawyer Ranch Rd Ste 303, Dripping Springs, TX 78620 Phone: 512-382-9381 Fax: 512-532-6689 |