OrganizationActive
Revival Medical Group PLLC
NPI 1093650806 · Obesity Medicine (Family Medicine) Physician · Kyle, TX
Provider details
- NPI number
- 1093650806
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Alan Lane, Owner
Practice location
1300 Dacy Ln Bldg 2
Ste. 270
Kyle, TX 78640-4192
Phone: (310) 745-9935
Mailing address
119 Crest View Dr
Lakeway, TX 78734-5207
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 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.