Organization
REVIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILESH BAVISHI M.D. (MEDICAL DIRECTOR)
(713) 777-3639
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, MEDICAL PLAZA I, SUITE 554, HOUSTON, TX 77074-1802
(713) 777-3639
Mailing address
7777 SOUTHWEST FWY, MEDICAL PLAZA I, SUITE 554, HOUSTON, TX 77074-1802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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