| Revive & Rejuvenate Llc Bluvida | |
|
3129 Kingsley Dr Ste 640 Pearland TX 77584-8508 | |
| (281) 901-1133 | |
| (281) 901-1601 |
| Full Name | Revive & Rejuvenate Llc Bluvida |
|---|---|
| Speciality | Internal Medicine |
| Location | 3129 Kingsley Dr Ste 640, Pearland, Texas |
| Authorized Official Name and Position | Stephen Lee (OWNER) |
| Authorized Official Contact | 7855501239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive & Rejuvenate Llc Bluvida 4110 Almeda Rd, Po Box 8321 Houston TX 77004-4869 Ph: (785) 550-1239 | Revive & Rejuvenate Llc Bluvida 3129 Kingsley Dr Ste 640 Pearland TX 77584-8508 Ph: (281) 901-1133 |
| NPI Number | 1225677222 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225677222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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