Provider Demographics
NPI:1134600729
Name:REVIVIFY REVENUE CYCLE CONSULTING LLC
Entity type:Organization
Organization Name:REVIVIFY REVENUE CYCLE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-437-2272
Mailing Address - Street 1:4016 TIMBERGLEN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5034
Mailing Address - Country:US
Mailing Address - Phone:214-437-2272
Mailing Address - Fax:
Practice Address - Street 1:4016 TIMBERGLEN RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5034
Practice Address - Country:US
Practice Address - Phone:214-437-2272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies