Organization · Type 2 NPI
Youth Revitalized Health and Wellness LLC
General Practice Physician · Gilmer, TX
NPI number
1265375281
Active
Practice location
602 Titus St Ste 120
Gilmer, TX 75644-1779
Mailing address
PO Box 1379
Hughes Springs, TX 75656-1379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1265375281
Youth Revitalized Health and Wellness LLC's National Provider Identifier is 1265375281, issued on Apr 13, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gilmer, TX. The record was last updated on Apr 13, 2026.