PRIVIA MEDICAL GROUP GULF COAST PLLC – NPI #1457167033
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

PRIVIA MEDICAL GROUP GULF COAST PLLC is a provider located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1457167033 to PRIVIA MEDICAL GROUP GULF COAST PLLC on December 09, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIVIA MEDICAL GROUP GULF COAST PLLC below.

NPI Profile for
PRIVIA MEDICAL GROUP GULF COAST PLLC

NPI Number
1457167033
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVIA MEDICAL GROUP GULF COAST PLLC
Primary location
5939 BABCOCK RD STE 112
SAN ANTONIO, TX 78240-3462
Phone: (210) 874-5260 Fax:
Mailing address
1200 BINZ ST STE 1490
HOUSTON, TX 77004-6946
Phone: (210) 874-5260 Fax:
Organization Subpart
Yes - PRIVIA MEDICAL GROUP GULF COAST PLLC is subpart of another organization.
Authorized Official
BARBARA JORDAN
AVP
Phone: (713) 512-7613
Updated
Certification Date
Dec 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
207LP2900X
- Anesthesiology / Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.