| Regeneration Revival Pllc | |
|
17191 St Lukes Way Ste 260 The Woodlands TX 77384-8049 | |
| (313) 770-1587 | |
| Not Available |
| Full Name | Regeneration Revival Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17191 St Lukes Way Ste 260, The Woodlands, Texas |
| Authorized Official Name and Position | Seth Parker (OWNER) |
| Authorized Official Contact | 3137701587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regeneration Revival Pllc 17191 St Lukes Way Ste 260 The Woodlands TX 77384-8049 Ph: () - | Regeneration Revival Pllc 17191 St Lukes Way Ste 260 The Woodlands TX 77384-8049 Ph: (313) 770-1587 |
| NPI Number | 1194330654 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194330654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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