# PRIVIA MEDICAL GROUP GULF COAST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nucare Foot and Ankle Specialists, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407569007
- **Authorized official:** BARBARA JORDAN (AVP REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (713) 512-7613

## Contact information

- **Practice address:** 10242 GREENHOUSE RD STE 602, CYPRESS, TX 77433-1833
- **Practice address phone:** (281) 982-0868
- **Mailing address:** 1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 12/29/2022