P Praxis·MD
● Active Type 1 · Individual

Olvia Revelo, M.D.

Family Medicine·Houston, TX· NPI 1356579304 · Enumerated 2009 · 16 years on NPI
Revelo is 1 of 1764 family medicine providers in Houston and 1 of 15966 in Texas.
NPI age
16 years
Enumerated 2009-06-29
Primary specialty
Family Medicine
Plus 5 subspecialties
Licensed in
TX, OK, LA, AR, MO, MA
6 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15966 active family medicine providers in Texas.

NPI age
16 years
≈ at median (17 yr)
State licenses
6 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
18220 State Highway 249, Suite 400
Houston, TX 770704347
📞 2817370570fax 2818076024
Mailing address
18220 State Highway 249, Suite 400
Houston, TX 770704347
📞 2817370570fax 2818076024

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    TX license #P1486OK license #34152LA license #311025AR license #E-11861MO license #2019000473MA license #277453 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (TX) P01467090 RR MEDICARE
01 (TX) 8FT326 BLUE CROSS BLUE SHIELD
01 (TX) 8EL997 BLUE CROSS BLUE SHIELD
05 (TX) 295420801
05 (TX) 295420803
Multi-state credentialing: Licensed in 6 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 97 other active providers share this practice address in NPPES.

Recently enumerated nearby: 15 new family medicine providers have been added in Houston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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