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Organization
82 MEDICAL GROUP
Active
Organization
82 MEDICAL GROUP
Active
Other names
U.S. Air Force
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPER JAMES REVIS PH.D. (CLINICAL PSYCHOLOGIST)
(940) 676-4945
Entity
Organization
Contact information
Practice address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 676-6075
(940) 676-6076
Mailing address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 676-6075
(940) 676-6076
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
23872
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/19/2006
Last updated
09/11/2025
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