Privia Medical Group West Texas, Pllc

NPI #1013159854 in Abilene, Texas

Provider Information

NPI Number: 1013159854
Entity Type: Organization
Organization Name: Privia Medical Group West Texas, Pllc
Primary Specialty: Podiatrist
Enumeration Date: Mar 25, 2009
Last Updated: Jul 25, 2022

Practice Location

Address: 6250 REGIONAL PLZ STE 1016
City: Abilene
State: Texas
ZIP Code: 79606-5223
Phone: (325) 437-8655

Authorized Official

Name: ANDREW KOUBA
Title: CEO/AUTHORIZED OFFICIAL
Phone: (325) 437-8645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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