| NPI | 1669237798 |
|---|---|
| Doing Business As | REVIVE PRIMARY CARE & MED SPA |
| Entity Type | Organization |
| Authorized Contact | AIMAN SHOKR Md 972-236-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207P00000X Emergency Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2025-01-30 |