Privia Medical Group Gulf Coast PLLC
Podiatrist, Foot & Ankle Surgery in Bellaire, TX. Organization (NPI-2).
NPI number1710690326
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1710690326
- Entity type
- Organization (NPI-2)
- Legal business name
- Privia Medical Group Gulf Coast PLLC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2022
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Other names
- Everest Foot And Ankle LLC (Doing Business As)
Practice location
6300 West Loop S Ste 390Bellaire, TX 77401-2917
Phone 346-358-0150
Mailing address
1200 Binz St Ste 1490Houston, TX 77004-6946
Authorized official
Barbara Jordan
Avp Revenue Cyclemanagement
7135127613
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All 7 Foot & Ankle Surgery Podiatrist providers in Bellaire · All 1,672 providers in Bellaire
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