Privia Medical Group Gulf Coast PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PRIVIA MEDICAL GROUP GULF COAST PLLC

Practice address

10242 Greenhouse Rd Ste 602
Cypress, TX 77433-1833

Phone

(281) 982-0868

NPI assigned

Dec 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Jordan

Title

Avp Revenue Cycle Management

Phone

(713) 512-7613

Specialties & licenses 1

Addresses

Other names 1

• Nucare Foot and Ankle Specialists, PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1407569007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD STE 602",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331833",
            "telephone_number": "281-982-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVIA MEDICAL GROUP GULF COAST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "AVP REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "713-512-7613"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nucare Foot and Ankle Specialists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Healthcare of Cypress LLC
• Prime Medicine LLC
• Primera Development Corporation
• Tiffany Amber Priska, M.A., LPC
• Private Transportation LLC
• Priya Kachhwaha MD PA
• Procare Chiropractic & Sports Therapy, PLLC.
• Procare Emergency Physicians Fairfield PLLC
• Procare Fairfield LLC
• Professional Surgical Assistant Services

• Foot & Ankle Surgery Podiatrist in Cypress, TX
• Providers in Cypress, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.