82 Medical Group
NPI #1073593570 in Sheppard Afb, Texas
Provider Information
- NPI Number
- 1073593570
- Entity Type
- Organization
- Organization Name
- 82 Medical Group
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 149 HART ST
- City
- Sheppard Afb
- State
- Texas
- ZIP Code
- 76311-3477
- Phone
- (940) 676-6075
Authorized Official
- Name
- DR. CHRISTOPER JAMES REVIS, PH.D.
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (940) 676-4945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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