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Organization
REVIVE FAMILY CARE & WELLNESS LLC
Active
Organization
REVIVE FAMILY CARE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUISELLE IVETTE BERRY NP (OWNER)
(214) 709-2522
Entity
Organization
Contact information
Practice address
3667 COUNTY ROAD 2134 STE C, CADDO MILLS, TX 75135-6897
(903) 751-5550
(833) 973-3638
Mailing address
3667 COUNTY ROAD 2134 STE C, CADDO MILLS, TX 75135-6897
(903) 751-5550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
01/07/2025
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