| Privia Medical Group Gulf Coast, Pllc | |
|
10020 Research Forest Dr Ste D Magnolia TX 77354-6780 | |
| (281) 896-0013 | |
| Not Available |
| Full Name | Privia Medical Group Gulf Coast, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10020 Research Forest Dr Ste D, Magnolia, Texas |
| Authorized Official Name and Position | Barbara Jordan (DELEGATED 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: (713) 512-7027 | Privia Medical Group Gulf Coast, Pllc 10020 Research Forest Dr Ste D Magnolia TX 77354-6780 Ph: (281) 896-0013 |
| NPI Number | 1053926550 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053926550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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