Privia Medical Group West Texas, PLLC
NPI 1346242567ActiveOrganization· Specialist· Abilene, TX
Specialist in Abilene, Texas, registered in NPPES in June 2005. The authorized official on file is Andrew Kouba, Ceo/Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346242567 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Specialist providers in Abilene
- 1215057310
- 1912037516
- 1770664740
- 1508846049
- 1851394993
- 1891891099
- 1003823618
- 1497755235
- 1386689669
- 1215261193
- 1023341567
- 1669029674