NPI age
4 years
Enumerated 2021-05-30
● Active Type 2 · Organization
Revival Dermatology Pllc
Revival Dermatology Pllc is 1 of 1632 dermatology organizations in Texas.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pruett
President
Last NPPES update
2021-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 1632 active dermatology providers in Texas.
NPI age
4 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
8201 Preston Rd Ste 440
Dallas, TX 752256209
Mailing address
8201 Preston Rd Ste 440
Dallas, TX 752256209
Authorized official
Lisa Guidry Pruett, MD
President
📞 5043191407
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lisa Guidry Pruett, MD Dermatology NPI 1356367106
- Jon Pruett, M.D. Dermatology NPI 1023071933
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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