OrganizationActiveAccepts Medicare
Privia Medical Group West Texas, PLLC
NPI 1346242567 · Specialist · Abilene, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1346242567
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Kouba, Ceo/Authorized Official(325) 437-8645
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1665 Antilley Rd
# 200
Abilene, TX 79606-5265
Phone: (325) 793-5375
Fax: (325) 793-5384
Street-level locationGet directions
Mailing address
Po Box 5409
Abilene, TX 79608-5409
Other names (DBA / former)
- Doing business as
- Abilene Diagnostic Clinic, PLLC
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.