Revive Family Care & Wellness LLC
NPI #1447001003 in Caddo Mills, Texas
Provider Information
- NPI Number
- 1447001003
- Entity Type
- Organization
- Organization Name
- Revive Family Care & Wellness LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 1, 2024
- Last Updated
- Jan 7, 2025
Practice Location
- Address
- 3667 COUNTY ROAD 2134 STE C
- City
- Caddo Mills
- State
- Texas
- ZIP Code
- 75135-6897
- Phone
- (903) 751-5550
Authorized Official
- Name
- MRS. GUISELLE IVETTE BERRY, NP
- Title
- OWNER
- Phone
- (214) 709-2522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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