NPI age
2 years
Enumerated 2023-10-17
● Active Type 2 · Organization
Privia Medical Group Gulf Coast Pllc
Privia Medical Group Gulf Coast Pllc is 1 of 116 physical medicine & rehabilitation organizations in Texas.
Primary specialty
Physical Medicine & Rehabilitation
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jordan
Vp, Revenue Cycle Management
Last NPPES update
2023-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 116 active physical medicine & rehabilitation providers in Texas.
NPI age
2 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3201 University Dr E Ste 245
Bryan, TX 778023483
Mailing address
1200 Binz St Ste 1490
Houston, TX 770046946
Authorized official
Barbara Jordan, VP
Vp, Revenue Cycle Management
📞 7135127613
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Leslie De Los Santos, DO Family Medicine NPI 1316406218
- Enniah Ndawana, PA Allergy & Immunology NPI 1588211726
- Eric South, DO Family Medicine NPI 1093940199
Specialties
-
Physical Medicine & Rehabilitation PrimaryA physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Premiere Sports and Family Medicine
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.