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Organization
REVIVE MED PARTNERS I LLC
Active
Organization
REVIVE MED PARTNERS I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KALRA (OWNER)
(972) 236-7060
Entity
Organization
Contact information
Practice address
2570 JUSTIN RD STE 160, HIGHLAND VILLAGE, TX 75077-3055
(972) 236-7060
Mailing address
2570 JUSTIN RD STE 160, HIGHLAND VILLAGE, TX 75077-3055
(972) 236-7060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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