Organization
REVIVE INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAPPHIRA CLARK APRN- FNP-C (OWNER)
(936) 635-0087
Entity
Organization
Contact information
Practice address
105 WESTSIDE MEDICAL BLVD, LUFKIN, TX 75904-1461
(936) 699-5284
(936) 699-5285
Mailing address
105 WESTSIDE MEDICAL BLVD, LUFKIN, TX 75904-1461
(936) 699-5284
(936) 699-5285
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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