REVIVIFY BIOLOGICS

GRAPEVINE, TX
NPI1952815466
Entity TypeOrganization
Authorized ContactELLEN ROSE BECKER
Nurse Practioner
817-886-4319
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2017-11-20
Last Update Date2017-11-20
Business Address
REVIVIFY BIOLOGICS
4100 HERITAGE AVE
GRAPEVINE, TX 76051-5714
Phone number: 817-886-4319
Mailing Address
REVIVIFY BIOLOGICS
62 MAIN ST STE 110
COLLEYVILLE, TX 76034-2931
Phone number: 817-886-4319
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