OrganizationActive
Revive Integrative Medicine
NPI 1063388643 · Primary Care Clinic/Center · Lufkin, TX
Revive Integrative Medicine is a Primary Care Clinic/Center organization in Lufkin, TX (NPI 1063388643).
Provider details
- NPI number
- 1063388643
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sapphira Clark, Owner(936) 635-0087
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Westside Medical Blvd
Lufkin, TX 75904-1461
Phone: (936) 699-5284
Fax: (936) 699-5285
Approximate (ZIP-level) locationGet directions
Mailing address
105 Westside Medical Blvd
Lufkin, TX 75904-1461
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Revive Integrative Medicine's NPI number?
- Revive Integrative Medicine's National Provider Identifier (NPI) is 1063388643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Integrative Medicine?
- Revive Integrative Medicine is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Integrative Medicine located?
- Revive Integrative Medicine's practice location on file with NPPES is 105 Westside Medical Blvd, Lufkin, TX 75904-1461.
- What is Revive Integrative Medicine's phone number?
- The practice phone number listed in the NPPES registry for Revive Integrative Medicine is (936) 699-5284.
- Who is the authorized official for Revive Integrative Medicine?
- The authorized official listed on Revive Integrative Medicine's NPPES record is Sapphira Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Integrative Medicine's NPI active?
- Yes — Revive Integrative Medicine's NPI (1063388643) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.