REVIVE INTEGRATIVE MEDICINE
NPI 1063388643
Clinic/Center - Primary Care in Lufkin, TX
About Revive Integrative Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE INTEGRATIVE MEDICINE (NPI 1063388643) is a healthcare organization registered as a primary care in Lufkin, Texas and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Sapphira Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2333334
Revive Integrative Medicine · Lufkin, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Revive Integrative Medicine's NPI number?
The NPI number for Revive Integrative Medicine is 1063388643. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Revive Integrative Medicine located?
Revive Integrative Medicine is located at 105 Westside Medical Blvd, Lufkin, TX 75904. The listed phone number is (936) 699-5284.
What is Revive Integrative Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Revive Integrative Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2333334) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Revive Integrative Medicine was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
