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Organization
PRIVIA GULF COAST CARE ALLIANCE, LLC
Active
Organization
PRIVIA GULF COAST CARE ALLIANCE, LLC
Active
Parent organization
PRIVIA MEDICAL GROUP GULF COAST PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIVIA MEDICAL GROUP GULF COAST PLLC
Authorized official
BARBARA JORDAN AVP (REVENUE CYCLE MANAGEMENT)
(713) 512-7613
Entity
Organization
Contact information
Practice address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7700
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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