Privia Medical Group Gulf Coast Pllc

NPI #1134901960 in Bryan, Texas

Provider Information

NPI Number
1134901960
Entity Type
Organization
Organization Name
Privia Medical Group Gulf Coast Pllc
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Enumeration Date
Oct 17, 2023
Last Updated
Oct 17, 2023

Practice Location

Address
3201 UNIVERSITY DR E STE 245
City
Bryan
State
Texas
ZIP Code
77802-3483
Phone
(979) 731-3100

Authorized Official

Name
BARBARA JORDAN, VP
Title
VP, REVENUE CYCLE MANAGEMENT
Phone
(713) 512-7613

Specialties & Taxonomy Codes

Specialty
Family Medicine
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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