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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