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

Privia Medical Group Gulf Coast, PLLC

Organization Podiatrist · NPI 1437880002

Privia Medical Group Gulf Coast, PLLC is a Podiatrist 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.

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Practice location Address checks out

3901 Medical Pkwy Ste 301
Austin, TX 78756-4022
Phone: (512) 399-5711
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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 number1437880002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Jordan — Authorized Official · (713) 512-7613
Other names Shine Foot And Ankle Center, Pllc; Shine Foot And Ankle Center, Pllc
NPI enumeratedJune 23, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address1200 Binz St Ste 1490, Houston, TX 77004-6946

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