Organization
ADVANCED HEALTH REVISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R NEELY NP (OWNER / NURSE PRACTITIONER)
(972) 978-2317
Entity
Organization
Contact information
Practice address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
(972) 978-2317
(800) 782-4295
Mailing address
661 E MAIN ST STE 200, BOX 118, MIDLOTHIAN, TX 76065-3365
(972) 903-4343
(800) 782-4295
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
04/15/2026
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