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

Revive Hormone Clinic PLLC

Organization Health Service Clinic/Center · NPI 1912448754

Revive Hormone Clinic PLLC is a Health Service Clinic/Center in Oklahoma City, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
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

13316 S Western Ave Ste F
Oklahoma City, OK 73170-7302
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

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1912448754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Foster — Manager · (405) 703-8882
Other names Revive Therapy
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017
Mailing address13316 S Western Ave, Suite F, Oklahoma City, OK 73170-7302

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