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Organization
REGENERATION REVIVAL PLLC
Active
Organization
REGENERATION REVIVAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH PARKER MD (OWNER)
(313) 770-1587
Entity
Organization
Contact information
Practice address
17191 ST LUKES WAY STE 260, THE WOODLANDS, TX 77384-8049
(313) 770-1587
Mailing address
17191 ST LUKES WAY STE 260, THE WOODLANDS, TX 77384-8049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
04/12/2021
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