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Organization

82 MEDICAL GROUP

Active
Other names
U.S. Air Force
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPER JAMES REVIS PH.D. (CLINICAL PSYCHOLOGIST)
(940) 676-4945
Entity
Organization

Contact information

Practice address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 676-6075
(940) 676-6076
Mailing address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 676-6075
(940) 676-6076

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
23872
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/19/2006
Last updated
09/11/2025
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