Graduated: 2019
NPI: 1467912865
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST
HOUSTON, TX 770542934
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST, SUITE 4000
HOUSTON, TX 770542935
7135127500
Source: CMS National Downloadable File, September 2026.