OrganizationActive
Advanced Health Revision PLLC
NPI 1235813114 · Gerontology Nurse Practitioner · Arlington, TX
Provider details
- NPI number
- 1235813114
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Neely, Owner / Nurse Practitioner(972) 978-2317
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4201 Interway Pl
Arlington, TX 76018-5668
Phone: (972) 978-2317
Fax: (800) 782-4295
Approximate (ZIP-level) locationGet directions
Mailing address
661 E Main St Ste 200
Midlothian, TX 76065-3365
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.