Revive Wound Care Pllc

NPI #1659199008 in Dripping Springs, Texas

Provider Information

NPI Number: 1659199008
Entity Type: Organization
Organization Name: Revive Wound Care Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Oct 2, 2024
Last Updated: Oct 2, 2024

Practice Location

Address: 28496 RANCH ROAD 12
Address 2: STE 200 # 105
City: Dripping Springs
State: Texas
ZIP Code: 78620
Phone: (951) 760-6216

Authorized Official

Name: DR. JOHANNES NEUENDORF, DO
Title: OWNER
Phone: (760) 809-8654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
General Practice	208D00000X
Clinic/Center	261Q00000X	Primary

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