OrganizationActive
Revive Medical, PLLC
NPI 1679239180 · Emergency Care Clinic/Center · El Paso, TX
Provider details
- NPI number
- 1679239180
- Entity type
- Organization
- Primary specialty
- Emergency Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clifford Janke, Medical Director(915) 248-4863
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Infusion Agency251F00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
- Emergency Response System Companies333300000X
Suppliers
- Land Ambulance3416L0300X
Transportation Services
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
12285 Pellicano Drive
Suite A2
El Paso, TX 79936
Phone: (915) 248-4863
Fax: (855) 891-7827
Street-level locationGet directions
Mailing address
12285 Pellicano Drive
El Paso, TX 79936
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.