Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regeneration Revival PLLC

Organization Internal Medicine Physician · NPI 1194330654

Regeneration Revival PLLC is an Internal Medicine Physician in The Woodlands, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17191 St Lukes Way Ste 260
The Woodlands, TX 77384-8049
Phone: (313) 770-1587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1194330654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Parker — Owner · (313) 770-1587
NPI enumeratedSeptember 11, 2020
Last updated in NPPESApril 12, 2021
Certification dateSeptember 11, 2020
Mailing address17191 St Lukes Way Ste 260, The Woodlands, TX 77384-8049

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