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1801659453
REVIVEME HEALTHCARE, PLLC
GRAND PRAIRIE, TX
NPI
1801659453
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Entity Type
Organization
Authorized Contact
AMANDA TEJERA
Managing Member
817-964-8349
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
REVIVEME HEALTHCARE, PLLC
2637 FAIRMONT DR,
GRAND PRAIRIE, TX 75052-4009
Phone number: 817-964-8349
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Mailing Address
REVIVEME HEALTHCARE, PLLC
1301 E. DEBBIE LANE SUITE 102, #1525
MANSFIELD, TX 76063-3376
Phone number:
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