Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Healthcare Clinic LLC

Organization Primary Care Nurse Practitioner · NPI 1174349104

Revive Healthcare Clinic LLC provides Primary Care Nurse Practitioner services in Irving, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 W Airport Fwy Ste# 209 Unit B
Irving, TX 75062
Phone: (214) 777-2703
Fax: (817) 865-1530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1174349104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chekwube Okoli — Owner · (469) 567-9974
Other names Revive Healthcare Clinic Llc; Revive Healthcare Clinic Llc
NPI enumeratedNovember 25, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address1221 West Airport Fwy Ste# 209 Unit B, Irving, TX 75062

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