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Organization
PRIVIA MEDICAL GROUP WEST TEXAS, PLLC
Active
Organization
PRIVIA MEDICAL GROUP WEST TEXAS, PLLC
Active
Other names
West Texas Health, Abilene Diagnostic Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KOUBA (CEO)
(325) 437-8645
Entity
Organization
Contact information
Practice address
1665 ANTILLEY RD STE 240, ABILENE, TX 79606-5274
(325) 437-2001
(325) 437-2011
Mailing address
PO BOX 5409, ABILENE, TX 79608-5409
(325) 437-8655
(325) 437-8647
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
05/22/2024
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