Organization
REVIVE GLOBAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHAD OMAR MD (PRESIDENT)
(915) 213-0900
Entity
Organization
Contact information
Practice address
5539 N MESA ST, EL PASO, TX 79912-5422
(915) 213-0900
(915) 271-4145
Mailing address
5539 N MESA ST, EL PASO, TX 79912-5422
(915) 213-0900
(915) 271-4145
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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