Organization · Type 2 NPI
Revive Integrative Medicine
Primary Care Clinic/Center · Lufkin, TX
NPI number
1063388643
Active
Practice location
105 Westside Medical Blvd
Lufkin, TX 75904-1461
Fax (936) 699-5285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1063388643
Revive Integrative Medicine's National Provider Identifier is 1063388643, issued on Oct 13, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lufkin, TX. The record was last updated on Oct 13, 2025.