# PRIVIA GULF COAST CARE ALLIANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIVIA MEDICAL GROUP GULF COAST PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700683232
- **Legal business name:** PRIVIA MEDICAL GROUP GULF COAST PLLC
- **Authorized official:** BARBARA JORDAN AVP (REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (713) 512-7613

## Contact information

- **Practice address:** 1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
- **Practice address phone:** (713) 512-7700
- **Mailing address:** 1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
- **Mailing address phone:** (713) 512-7700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025