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 1689267783

Privia Medical Group Gulf Coast, PLLC is a Podiatrist in Austin, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

11614 Fm 2244 Rd Ste 150
Austin, TX 78738-5471
Phone: (512) 399-5711
Fax: (512) 339-5707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1689267783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Jordan — Associate Vp, Revenue Cycle · (713) 512-7613
Other names Shine Foot And Ankle Center, Privia Medical Group Gulf Coast, Pllc
NPI enumeratedFebruary 19, 2021
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address1200 Binz St Ste 1490, Houston, TX 77004-6946

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