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Organization

PRIVIA MEDICAL GROUP GULF COAST PLLC

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 RCM MANAGEMENT)
(713) 512-7613
Entity
Organization

Contact information

Practice address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
Mailing address
1200 BINZ ST STE 1490, HOUSTON, TX 77004-6946
(713) 512-7700

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
08/30/2022
Last updated
08/12/2025
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