NPI 1497755235
Privia Medical Group West Texas, PLLC
Practice location
- Address
- 1665 Antilley Rd Suite 200, Abilene, TX 79606-5265
- Phone
- (325) 437-8655
- Fax
- (325) 437-8647
- Mailing address
- PO Box 5409, Abilene, TX 79608-5409
Authorised official
- Name
- Andrew Kouba
- Title
- Ceo/Authorized Official
- Phone
- (325) 437-8645
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1497755235
- Entity type
- Organization
- NPI issued
- 22 Jul 2005
- Record last updated
- 5 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.