Revival Medical Group PLLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

REVIVAL MEDICAL GROUP PLLC

Practice address

1300 Dacy LN BLDG 2
Ste. 270
Kyle, TX 78640-4192

Phone

(310) 745-9935

NPI assigned

Apr 20, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alan Lee Lane, MD

Title

Owner

Phone

(512) 757-3259

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1093650806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CREST VIEW DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345207",
            "telephone_number": "310-745-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DACY LN BLDG 2",
            "address_2": "STE. 270",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404192",
            "telephone_number": "310-745-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-757-3259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidi Gail Redmond
• Britney Danielle Reese
• Gunnar Maximillian Reichenberger, DO
• Kyla Reid
• Taressa Nicole Reid
• Brenda Reyes-Monroy, RBT
• Alexandra Renee Reyes
• Kassandra Reyes, DO
• Xochil Reyes
• Katelyn Sumlin Reynolds, DPT

• Obesity Medicine (Family Medicine) Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Obesity Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.