PRIVIA MEDICAL GROUP GULF COAST, PLLC
NPI 1669134813
Podiatrist - Foot & Ankle Surgery in Houston, TX

Active since October 05, 2021
NUCARE FOOT & ANKLE SPECIALISTS, 12238 QUEENSTON BLVD, STE K, HOUSTON, TX 77095(281) 982-0868(281) 982-0866 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Privia Medical Group Gulf Coast, Pllc NPPES

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

PRIVIA MEDICAL GROUP GULF COAST, PLLC (NPI 1669134813) is a healthcare organization registered as a foot & ankle surgery in Houston, Texas and active in the NPI registry since October 2021. The organization lists Barbara Jordan, Avp, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1669134813
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRIVIA MEDICAL GROUP GULF COAST, PLLC
Location AddressNUCARE FOOT & ANKLE SPECIALISTS, 12238 QUEENSTON BLVD, STE KHouston, TX 77095-5351
Mailing Address1200 Binz St Ste 1490Houston, TX 77004-6946 · (713) 512-7700
Fax(281) 982-0866
Organization SubpartNo
Authorized OfficialBarbara JordanAvp, Revenue Cycle Management · (713) 512-7613
Enumeration DateOctober 5, 2021
NPPES CertifiedSeptember 22, 2021
NPI 1669134813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
NUCARE FOOT & ANKLE SPECIALISTS, 12238 QUEENSTON BLVD, Houston, TX 77095

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Gulf Coast, PLLC's NPI number?

The NPI number for Privia Medical Group Gulf Coast, PLLC is 1669134813. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Privia Medical Group Gulf Coast, PLLC located?

Privia Medical Group Gulf Coast, PLLC is located at Nucare Foot & Ankle Specialists, 12238 Queenston Blvd Ste K, Houston, TX 77095. The listed phone number is (281) 982-0868.

What is Privia Medical Group Gulf Coast, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Gulf Coast, PLLC was last updated on October 5, 2021. 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.