REGENERATION REVIVAL PLLC
NPI 1194330654
Internal Medicine in The Woodlands, TX

Active since September 11, 2020
17191 ST LUKES WAY STE 260, THE WOODLANDS, TX 77384(313) 770-1587 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Sep 11, 2020 (2 updates tracked since 2020).

About Regeneration Revival Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERATION REVIVAL PLLC (NPI 1194330654) is a healthcare organization registered as an internal medicine in The Woodlands, Texas and active in the NPI registry since September 2020. The organization lists Seth Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1194330654
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREGENERATION REVIVAL PLLC
Location Address17191 ST LUKES WAY STE 260The Woodlands, TX 77384-8049
Mailing Address17191 St Lukes Way Ste 260The Woodlands, TX 77384-8049
Organization SubpartNo
Authorized OfficialSeth ParkerOwner · (313) 770-1587
Enumeration DateSeptember 11, 2020
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1194330654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17191 ST LUKES WAY STE 260, The Woodlands, TX 77384

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Regeneration Revival PLLC's NPI number?

The NPI number for Regeneration Revival PLLC is 1194330654. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Regeneration Revival PLLC located?

Regeneration Revival PLLC is located at 17191 St Lukes Way Ste 260, The Woodlands, TX 77384. The listed phone number is (313) 770-1587.

What is Regeneration Revival PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Regeneration Revival PLLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.