Organization · Type 2 NPI

Revival Medical Group PLLC

Obesity Medicine (Family Medicine) Physician · Kyle, TX

NPI number 1093650806 Active

Practice location

1300 Dacy Ln Bldg 2, Ste. 270
Kyle, TX 78640-4192

Mailing address

119 Crest View Dr
Lakeway, TX 78734-5207

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Family Medicine) Physician Primary 207QB0002XNone listed
Internal Medicine Physician 207R00000XNone listed
General Practice Physician 208D00000XNone listed

Obesity Medicine (Family Medicine) Physician: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilize…

About NPI 1093650806

Revival Medical Group PLLC's National Provider Identifier is 1093650806, issued on Apr 20, 2026. The primary taxonomy on file is Obesity Medicine (Family Medicine) Physician (207QB0002X), and the practice location is in Kyle, TX. The record was last updated on Apr 20, 2026.