Organization
REVIGEN HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ENYART PA-C (OWNER/PROVIDER)
(918) 630-6485
Entity
Organization
Contact information
Practice address
431376 E 340 RD, BIG CABIN, OK 74332-8006
(918) 205-2685
Mailing address
518 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6823
(918) 630-6485
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
04/22/2026
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