<Unavail>

LBN: Revive Hormone Clinic Pllc
<Unavail> is an health care organization with primary practice located at 13316 S Western Ave Suite F, Oklahoma City OK 73170-7302. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Revive Hormone Clinic Pllc can be contacted via phone (405) 703-8882, or through Foster, Ernest Byron via phone (405) 703-8882.

Contact Information

Primary practice address
13316 S Western Ave Suite F Oklahoma City OK 73170-7302
Phone: (405) 703-8882
Fax: (405) 237-3799
Website:
Map and Directions
Authorized official contact:
Name: Foster, Ernest Byron Doctor of Medicine (MD)
Phone: (405) 703-8882

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1912448754
LBN Legal business name Revive Hormone Clinic Pllc
DBA Doing business as <Unavail>
Authorized official Foster, Ernest Byron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2017
Last updated Mar 13th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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