Organization
REVIVE HEALTHCARE CLINIC LLC
Active
Other names
Revive Healthcare Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHEKWUBE MARTHA OKOLI (OWNER)
(469) 567-9974
Entity
Organization
Contact information
Practice address
1221 WEST AIRPORT FWY STE# 209 UNIT B, IRVING, TX 75062
(214) 777-2703
(817) 865-1530
Mailing address
1221 WEST AIRPORT FWY STE# 209 UNIT B, IRVING, TX 75062
(214) 777-2703
(817) 865-1530
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
03/18/2025
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