Privia Medical Group Gulf Coast, PLLC
Privia Medical Group Gulf Coast, PLLC provides Podiatrist services in Austin, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3901 Medical Pkwy Ste 301Austin, TX 78756-4022
Phone: (512) 399-5711
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X |
|---|
Record details
| NPI number | 1437880002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barbara Jordan — Authorized Official · (713) 512-7613 |
| Other names | Shine Foot And Ankle Center, Pllc; Shine Foot And Ankle Center, Pllc |
| NPI enumerated | June 23, 2022 |
| Last updated in NPPES | July 7, 2022 |
| Certification date | July 7, 2022 |
| Mailing address | 1200 Binz St Ste 1490, Houston, TX 77004-6946 |
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Gary Charles Payne, DPM
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Privia Medical Group Gulf Coast, PLLC
11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 · (512) 399-5711
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