OrganizationActive
82 Medical Group
NPI 1073593570 · Adolescent and Children Mental Health Clinic/Center · Sheppard Afb, TX
Provider details
- NPI number
- 1073593570
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Christoper Revis, Clinical Psychologist
- License
- 23872 (TX)
Practice location
149 Hart St
Sheppard Afb, TX 76311-3477
Phone: (940) 676-6075
Fax: (940) 676-6076
Mailing address
149 Hart St
Sheppard Afb, TX 76311-3477
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.