Organization · Type 2 NPI

Privia Medical Group Gulf Coast, PLLC

Podiatrist · Austin, TX

NPI number 1689267783 Active

Practice location

11614 FM 2244 Rd Ste 150
Austin, TX 78738-5471

Call (512) 399-5711 Map

Fax (512) 339-5707

Mailing address

1200 Binz St Ste 1490
Houston, TX 77004-6946

Specialties and licenses

Taxonomy	Code	License
Podiatrist Primary	213E00000X	None listed

Podiatrist: 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.

2 other providers at this address

Other podiatrist providers in Austin

See all in Austin →

NPI record

NPI: 1689267783
Entity type: Organization (Type 2)
Issued: Feb 19, 2021
Last updated: Feb 19, 2021
Status: Active

Other names

Shine Foot and Ankle Center, Privia Medical Group Gulf Coast, PLLC · doing business as

Authorized official

Barbara Jordan
Associate VP, Revenue Cycle
(713) 512-7613

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1689267783

Privia Medical Group Gulf Coast, PLLC's National Provider Identifier is 1689267783, issued on Feb 19, 2021. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Austin, TX. The record was last updated on Feb 19, 2021.