Revival Medical Group PLLC
NPI 1093650806 · Obesity Medicine (Family Medicine) Physician · Kyle, TX
Revival Medical Group PLLC is a Obesity Medicine (Family Medicine) Physician organization in Kyle, TX (NPI 1093650806).
Provider details
- NPI number
- 1093650806
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alan Lane, Owner(512) 757-3259
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Revival Medical Group PLLC's NPI number?
- Revival Medical Group PLLC's National Provider Identifier (NPI) is 1093650806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Medical Group PLLC?
- Revival Medical Group PLLC is classified in the NPPES registry as Obesity Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Medical Group PLLC located?
- Revival Medical Group PLLC's practice location on file with NPPES is 1300 Dacy Ln Bldg 2, Kyle, TX 78640-4192.
- What is Revival Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Medical Group PLLC is (310) 745-9935.
- Who is the authorized official for Revival Medical Group PLLC?
- The authorized official listed on Revival Medical Group PLLC's NPPES record is Alan Lane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Medical Group PLLC's NPI active?
- Yes — Revival Medical Group PLLC's NPI (1093650806) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.