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Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Other names
LeHealth dba Cleveland Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JORDAN (AUTHORIZED OFFICIAL)
(713) 512-7613
Entity
Organization
Contact information
Practice address
210 E HOUSTON ST, CLEVELAND, TX 77327-4512
(281) 593-1500
(281) 593-1509
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(571) 982-6636
(240) 696-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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