Revive Clinic Llc - Oklahoma City, OK

Revive Clinic Llc

Clinic/Center in Oklahoma City, Oklahoma

NPI 1518460047

Revive Clinic Llc is a Clinic/Center based in Oklahoma City, OK. Revive Clinic Llc practices in Oklahoma City, OK. The NPI Number for Revive Clinic Llc is 1518460047 and holds a License No. (Oklahoma).

The current practice location address for Revive Clinic Llc is 13316 S Western Ave Ste F, Oklahoma City, OK and can be reached out via phone at 405-703-8882 and via fax at 405-237-3799.

Location: 13316 S Western Ave Ste F, Oklahoma City, OK, 73170-7309

NPI Number

1518460047

Provider Name

Revive Clinic Llc

Credential

Provider Entity Type

Organization

Address

13316 S Western Ave Ste F, Oklahoma City, OK, 73170-7309

Phone Number

405-703-8882

Fax Number

405-237-3799

Provider Enumeration Date

03/12/2018

Last Update Date

03/10/2024

Address

13316 S Western Ave Ste F

City

Oklahoma City

State

Oklahoma

Zip

73170-7309

Phone Number

405-703-8882

Fax Number

405-237-3799

Address

13316 S Western Ave Ste F

City

Oklahoma City

State

Oklahoma

Zip

73170-7309

Phone Number

405-703-8882

Fax Number

405-237-3799

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

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Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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