| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| 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 |
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