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

Privia Medical Group West Texas, PLLC

Organization Radiography Radiologic Technologist · NPI 1356341184

Privia Medical Group West Texas, PLLC is a Radiography Radiologic Technologist 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.

See every abbreviation used in this directory →

Practice location Address checks out

1665 Antilley Rd Ste 200
Abilene, TX 79606-5265
Phone: (325) 437-8655
Fax: (325) 437-8647
Show map & directions

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 number1356341184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kouba — Ceo/Authorized Official · (325) 437-8645
Other names Radiologic Imaging
NPI enumeratedJuly 22, 2005
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing addressPo Box 5409, Abilene, TX 79608-5409