Regeneration Revival PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REGENERATION REVIVAL PLLC

Practice address

17191 St Lukes Way Ste 260
The Woodlands, TX 77384-8049

Phone

(313) 770-1587

NPI assigned

Sep 11, 2020

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seth Parker, MD

Title

Owner

Phone

(313) 770-1587

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1194330654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY STE 260",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY STE 260",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848049",
            "telephone_number": "313-770-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION REVIVAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-04-12",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-770-1587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Reddy, DPM
• Crystal Hlaing Reece, MD
• Alexis Elaine Reed, PHARM D
• Jane C Reed, M.D.
• Rachael Reed
• Regenerative Repair and Relief, PLLC
• Regent Care Center of the Woodlands,LP
• Gregg A Reger, M.D.
• Holly Harper Reid, M.D.
• Amy L. Reif, D.O.

• Internal Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.