=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114804507
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RVLV MEDICAL SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2025
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3821 NEGIN DR
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78414-3795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-452-8360
-----------------------------------------------------
Fax | 361-452-8359
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3821 NEGIN DR
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78414-3795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-452-8360
-----------------------------------------------------
Fax | 361-452-8359
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. LOKESH GOYAL
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 312-804-8542
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------