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Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Other names
Southwest Women's Health Alliance, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JORDAN (AVP REVENUE CYCLE MANAGEMENT)
(713) 512-7613
Entity
Organization
Contact information
Practice address
7900 FANNIN ST STE 4000, HOUSTON, TX 77054-2935
(713) 512-7500
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
NULL
207VE0102X
Reproductive Endocrinology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
11/05/2014
Last updated
03/17/2024
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