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

Revive Clinic LLC

Organization Clinic/Center · NPI 1518460047

Revive Clinic LLC is a Clinic/Center in Oklahoma City, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13316 S Western Ave Ste F
Oklahoma City, OK 73170-7309
Phone: (405) 703-8882
Fax: (405) 237-3799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1518460047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Carter — Partner · (405) 392-3300
NPI enumeratedMarch 12, 2018
Last updated in NPPESMarch 12, 2018
Mailing address13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309

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