NPI 1013755412
Revive-
Practice location
- Address
- 9450 Pinecroft Dr, The Woodlands, TX 77380-3220
- Phone
- (262) 510-3784
- Mailing address
- 4029 N 72nd St, Milwaukee, WI 53216-1033
Authorised official
- Name
- Lafreddria a Hannible
- Title
- Director
- Phone
- (262) 510-3784
Registered specialties
Secured Medical Transport (VAN)
Primary
Registry record
- NPI
- 1013755412
- Entity type
- Organization
- NPI issued
- 18 Jul 2024
- Record last updated
- 18 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.