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

Revive Integrative Medicine

Organization Primary Care Clinic/Center · NPI 1063388643

Revive Integrative Medicine is a Primary Care Clinic/Center in Lufkin, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

105 Westside Medical Blvd
Lufkin, TX 75904-1461
Phone: (936) 699-5284
Fax: (936) 699-5285
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1063388643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sapphira Clark — Owner · (936) 635-0087
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address105 Westside Medical Blvd, Lufkin, TX 75904-1461

Other providers in Lufkin