PRIVIA MEDICAL GROUP GULF COAST PLLC NPI 1518680123

NPI Information

NPI: 1518680123
Provider Name: PRIVIA MEDICAL GROUP GULF COAST PLLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
4900 BEE CREEK RD UNIT 203
SPICEWOOD, TX
ZIP 78669
Phone: (512) 907-3100
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PRIVIA MEDICAL GROUP GULF COAST PLLC is a foot surgery podiatrist in Spicewood, TX. PRIVIA MEDICAL GROUP GULF COAST PLLC NPI is 1518680123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4900 BEE CREEK RD UNIT 203
SPICEWOOD, TX
ZIP 78669-018
Phone: (512) 907-3100

The provider's authorized official is Barbara Jordan .
The authorized official title is Authorized Official and has the following contact phone number (713) 512-7613.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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