Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Privia Medical Group Gulf Coast, PLLC

Organization Internal Medicine Physician · NPI 1417562919

Privia Medical Group Gulf Coast, PLLC is an Internal Medicine Physician in Houston, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 Business Center Dr Ste 110
Houston, TX 77043-2749
Phone: (281) 896-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1417562919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Jordan — Delegated Official · (713) 512-7613
Other names University Pain
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing address1200 Binz St Ste 1490, Houston, TX 77004-6946

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