PRIVIA MEDICAL GROUP WEST TEXAS, PLLC

ABILENE, TX
NPI1013159854
Former Legal Business NameABILENE DIAGNOSTIC CLINIC, PLLC
Other NamePODIATRY DME SUITE 1016
Doing Business AsABILENE DIAGNOSTIC CLINICS
Entity TypeOrganization
Authorized ContactANDREW KOUBA
CEO/Authorized Official
325-437-8645
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
Enumeration Date2009-03-25
Last Update Date2022-07-25
Business Address
PRIVIA MEDICAL GROUP WEST TEXAS, PLLC
6250 REGIONAL PLZ STE 1016
ABILENE, TX 79606-5223
Phone number: 325-437-8655
Mailing Address
PRIVIA MEDICAL GROUP WEST TEXAS, PLLC
PO BOX 5409
ABILENE, TX 79608-5409
Phone number: 325-437-8655