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Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Organization
PRIVIA MEDICAL GROUP GULF COAST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JORDAN (AVP, REVENUE CYCLE MANAGEMENT)
(713) 512-7613
Entity
Organization
Contact information
Practice address
NUCARE FOOT & ANKLE SPECIALISTS, 12238 QUEENSTON BLVD, STE K, HOUSTON, TX 77095-5351
(281) 982-0868
(281) 982-0866
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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