Graduated: 2004
NPI: 1396761235
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST, SUITE 4000
HOUSTON, TX 770542935
7135127500
PRIVIA MEDICAL GROUP GULF COAST PLLC
3036 NORTHPARK DR, VICTOR LUGO MIRO MD PRIVIA MEDICA
KINGWOOD, TX 773395114
2813608501
Source: CMS National Downloadable File, September 2026.