Abilene Diagnostic Clinic, Pllc

LBN: Privia Medical Group West Texas, Pllc
Abilene Diagnostic Clinic, Pllc is an health care organization with primary practice located at 1665 Antilley Rd # 200, Abilene TX 79606-5265. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Privia Medical Group West Texas, Pllc can be contacted via phone (325) 793-5375, or through Kouba, Andrew via phone (325) 437-8645.

Contact Information

Primary practice address
1665 Antilley Rd # 200 Abilene TX 79606-5265
Phone: (325) 793-5375
Fax: (325) 793-5384
Website:
Map and Directions
Authorized official contact:
Name: Kouba, Andrew
Phone: (325) 437-8645

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1346242567
LBN Legal business name Privia Medical Group West Texas, Pllc
DBA Doing business as Abilene Diagnostic Clinic, Pllc
Authorized official Kouba, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346242567 NPPES
Texas MEDICAID 1306102-02

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