ABILENE DIAGNOSTIC CLINICS
NPI 1043725062
Podiatrist in Abilene, TX

Q: What is Privia Medical Group West Texas, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since December 13, 2017

1665 ANTILLEY RD STE 210, ABILENE, TX 79606(325) 437-8647(325) 793-5107 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Apr 4, 2022, Nov 11, 2021 and 3 more (6 updates tracked since 2017).

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About Abilene Diagnostic Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABILENE DIAGNOSTIC CLINICS (NPI 1043725062) is a healthcare organization registered as a podiatrist in Abilene, Texas and active in the NPI registry since December 2017. The organization lists Andrew Kouba, Ceo/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043725062

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NamePRIVIA MEDICAL GROUP WEST TEXAS, PLLC

Location Address1665 ANTILLEY RD STE 210Abilene, TX 79606-5276

Mailing AddressPo Box 5409Abilene, TX 79608-5409 · (325) 437-8655 · Fax (325) 437-8647

Phone(325) 437-8647

Fax(325) 793-5107

Organization SubpartNo

Authorized OfficialAndrew KoubaCeo/authorized Official · (325) 437-8645

Enumeration DateDecember 13, 2017

Last NPPES UpdateJuly 25, 20226 updates tracked since enumeration

NPPES CertifiedJuly 25, 2022

✔ NPI 1043725062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1665 ANTILLEY RD STE 210, Abilene, TX 79606

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Other Names 2

Doing Business AsAbilene Diagnostic Clinics

Other NamePodiatry Dme Suite 210

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Privia Medical Group West Texas, PLLC's NPI number?

The NPI number for Privia Medical Group West Texas, PLLC is 1043725062. It was assigned to this organization in the NPPES registry on December 13, 2017. The provider is doing business as Abilene Diagnostic Clinics. The provider is also known as Podiatry DME Suite 210.

Where is Privia Medical Group West Texas, PLLC located?

Privia Medical Group West Texas, PLLC is located at 1665 Antilley Rd Ste 210, Abilene, TX 79606. The listed phone number is (325) 437-8647.

What is Privia Medical Group West Texas, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group West Texas, PLLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.