Privia Medical Group West Texas, PLLC
Privia Medical Group West Texas, PLLC provides Radiography Radiologic Technologist services in Abilene, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1665 Antilley Rd Ste 200Abilene, TX 79606-5265
Phone: (325) 437-8655
Fax: (325) 437-8647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiography Radiologic Technologist (primary) | Taxonomy 2471C3402X · Licence R2280 (TX) |
|---|
Record details
| NPI number | 1356341184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Kouba — Ceo/Authorized Official · (325) 437-8645 |
| Other names | Radiologic Imaging |
| NPI enumerated | July 22, 2005 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | Po Box 5409, Abilene, TX 79608-5409 |