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Organization
REVIVE & REJUVENATE LLC BLUVIDA
Active
Organization
REVIVE & REJUVENATE LLC BLUVIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LEE MD (OWNER)
(785) 550-1239
Entity
Organization
Contact information
Practice address
3129 KINGSLEY DR STE 640, PEARLAND, TX 77584-8508
(281) 901-1133
(281) 901-1601
Mailing address
4110 ALMEDA RD, PO BOX 8321, HOUSTON, TX 77004-4869
(785) 550-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
06/10/2024
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