Graduated: 1984
NPI: 1962481838
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
11307 FM 1960 RD W, 140 CY FAIR HEADACHE AND NEUROLOGICAL C
HOUSTON, TX 770653687
2819559155
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST, SUITE 4000
HOUSTON, TX 770542935
7135127500
Source: CMS National Downloadable File, September 2026.