| Privia Medical Group Gulf Coast, Pllc | |
|
210 E Houston St Cleveland TX 77327-4512 | |
| (281) 593-1500 | |
| (281) 593-1509 |
| Full Name | Privia Medical Group Gulf Coast, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 E Houston St, Cleveland, Texas |
| Authorized Official Name and Position | Barbara Jordan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7135127613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Gulf Coast, Pllc 1200 Binz St Ste 1490 Houston TX 77004-6946 Ph: (571) 982-6636 | Privia Medical Group Gulf Coast, Pllc 210 E Houston St Cleveland TX 77327-4512 Ph: (281) 593-1500 |
| NPI Number | 1598352270 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598352270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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