Privia Medical Group West Texas, Pllc

NPI #1356341184 in Abilene, Texas

Provider Information

NPI Number
1356341184
Entity Type
Organization
Organization Name
Privia Medical Group West Texas, Pllc
Primary Specialty
Radiologic Technologist - Radiography
Enumeration Date
Jul 22, 2005
Last Updated
Apr 4, 2022

Practice Location

Address
1665 ANTILLEY RD
Address 2
SUITE 200
State
Texas
ZIP Code
79606-5265
Phone
(325) 437-8655

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist - RadiographyRadiography

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