OrganizationActive
Privia Medical Group Gulf Coast PLLC
NPI 1639985211 · Interventional Pain Medicine Physician · San Antonio, TX
Provider details
- NPI number
- 1639985211
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Privia Medical Group Gulf Coast PLLC
- Organization subpart
- Yes
- Authorized official
- Barbara Jordan, Avp(281) 816-7860
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
21038 US Highway 281 N Ste 100
San Antonio, TX 78258-7556
Phone: (210) 874-5260
Street-level locationGet directions
Mailing address
1200 Binz St Ste 1490
Houston, TX 77004-6946
Other names (DBA / former)
- Doing business as
- Express Pain and Urgent Care
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2024-12-09
- Certified
- 2024-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.