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General NPI Number Information
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NPI Number | 1083573307
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Entity Type | Organization
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Legal Business Name | REVAYA WELLNESS, PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PKWY STE C
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City | SAN MARCOS
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State | TX
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Zip | 78666-7581
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Country | US
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Telephone | 512-360-8144
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 MEDICAL PKWY STE C
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City | SAN MARCOS
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State | TX
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Zip | 78666-7581
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Country | US
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Telephone | 512-360-8144
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Fax |
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Authorized Official
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Title or Position | CO/OWNER
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Name | CARA GRANT
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Credential | NP
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Telephone | 512-360-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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