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Organization
REVITA WELLNESS PLLC
Active
Organization
REVITA WELLNESS PLLC
Active
Other names
Revita wellness PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHEEBA MATHAI (NP)
(972) 313-5017
Entity
Organization
Contact information
Practice address
11804 PARADE DR, FRISCO, TX 75036-1020
(972) 313-5017
Mailing address
11804 PARADE DR, FRISCO, TX 75036-1020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/17/2025
Last updated
05/13/2026
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