REVIVE MEDICAL, PLLC – Emergency Care Clinic/Center, NPI 1679239180

REVIVE MEDICAL, PLLC is a healthcare provider. based in El paso, Texas. specializing in Emergency Care Clinic/Center. The NPI Number for REVIVE MEDICAL, PLLC is 1679239180

Main info

Organization
Name
REVIVE MEDICAL, PLLC
NPI
1679239180
Phone
(915) 248-4863
Address
12285 PELLICANO DRIVE
Authorized Official
CLIFFORD OWEN JANKE MEDICAL DIRECTOR MD
Enumeration Date
10 November 2021
Last Update Date
15 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for REVIVE MEDICAL, PLLC

  • 12285 PELLICANO DRIVE

    SUITE A2

    EL PASO, TX 79936

    Phone: (915) 248-4863

    Fax: (855) 891-7827

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79936)

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Reviews

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Frequently asked questions

What is REVIVE MEDICAL, PLLC's NPI number?
REVIVE MEDICAL, PLLC's NPI is 1679239180 — the number used across U.S. healthcare to identify this provider.
Is there an active status for REVIVE MEDICAL, PLLC?
For scheduling context, REVIVE MEDICAL, PLLC is shown as active in the registry.
What expertise is attributed to REVIVE MEDICAL, PLLC?
REVIVE MEDICAL, PLLC's specialty line reads Emergency Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Is REVIVE MEDICAL, PLLC associated with El Paso?
Public fields place REVIVE MEDICAL, PLLC around El Paso, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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