REVIVE & REJUVENATE LLC BLUVIDA


Address: 21660 Kingsland Blvd, Katy, TX 77450-2511
Phone: 7855501239

REVIVE & REJUVENATE LLC BLUVIDA (NPI# 1225677222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225677222
Entity Type Organization
Organization Name REVIVE & REJUVENATE LLC BLUVIDA
Practice Address 21660 Kingsland Blvd
Katy
TX 77450-2511
Practice Telephone 7855501239
Mailing Telephone 7855501239
Enumeration Date 2019-12-23
Last Update Date 2019-12-23
Authorized Official Name DR. STEPHEN LEE (OWNER)
Authorized Official Telephone 7855501239
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
REVIVE & REJUVENATE LLC BLUVIDA Doing Business As Name - Organization

Office Location

Street Address 21660 KINGSLAND BLVD
City KATY
State TX
Zip Code 77450-2511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023095387 Laboratory Corporation of America Clinical Medical Laboratory 21660 Kingsland Blvd, Katy, TX 77450-2511 2005-12-28
1043725880 Triton Aquatic and Land Therapies, LLC Physical Therapist 21660 Kingsland Blvd, Katy, TX 77450-2511 2017-12-01
1104208719 Huina Chen Pharmacist 21660 Kingsland Blvd, Katy, TX 77450-2511 2015-06-19
1427314848 Chris A. Fahrenbruch Nixon Dietitian, Registered 21660 Kingsland Blvd, Katy, TX 77450-2511 2012-04-10
1477649663 Lansing W Yee Family Medicine 21660 Kingsland Blvd, Katy, TX 77450-2511 2006-10-05

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295042471 Hemanth N Hampole Internal Medicine 411 Park Grove Ln Suite 310, Katy, TX 77450 2010-09-08
1326244849 Rahul Prakash, M.d., P.a. Internal Medicine 411 Park Grove Ln Suite 310, Katy, TX 77450-7745 2007-06-22
1346444924 Alicia Beatriz Romero Internal Medicine 411 Park Grove Ln Suite 310, Katy, TX 77450 2007-06-14
1558380428 Shalin Dinesh Patel Internal Medicine 411 Park Grove Ln Suite 310, Katy, TX 77450 2006-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203659 Nephrology and Hypertension Specialists Pa Internal Medicine 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 2020-10-22
1437781960 Haus Medical Group Pllc Internal Medicine 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 2020-02-12
1962040949 Ngoc-han Thi Tran Internal Medicine 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 2019-12-20
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1639711534 Immaculate Vascular Access Center Pllc Internal Medicine 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 2019-10-11
1376193433 Ntkc - Dfw, Pllc Internal Medicine 10700 Victoria Ash Dr., Keller, TX 76244 2019-09-19
1841849098 Austin Kidney Care LLC Internal Medicine 2005 Palo Duro Rd, Austin, TX 78757-3242 2019-09-10
1467000828 Ntkc-dfw, Pllc Internal Medicine 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 2019-08-29
1306407697 H&n Medical Investment, LLC Internal Medicine 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 2019-06-26
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Competitor

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City KATY
Zip Code 77450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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