Revival Health Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

REVIVAL HEALTH CLINIC

Practice address

740 W 24TH St
Houston, TX 77008-1736

Phone

(956) 222-9375

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Moath Amro, MD

Title

Owner

Phone

(956) 222-9375

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amneh Jamal Amro, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1457794869
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1174137657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W 24TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081736",
            "telephone_number": "956-222-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W 24TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081736",
            "telephone_number": "956-222-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "AMRO",
        "authorized_official_first_name": "MOATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-222-9375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "740 W 24th St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770081736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Veronica Revilla, APRN, FNP-BC
• Regina Revish
• Revitalife Home Healthcare Services, LLC
• Revitalizaing Out-Patient Rehabilitation Facility
• Revitalized Resilience PLLC
• Revival Homecare of Houson Inc.
• Revive F W
• Revive Health
• Revive RX LLC
• Revive RX LLC

• Urgent Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.