Tricare Medical Group, Pc

LBN: Tricare Medical Group, Pc
Tricare Medical Group, Pc is an health care organization with primary practice located at 5985 Columbia Pike Suite 102, Falls Church VA 22041-2043. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tricare Medical Group, Pc can be contacted via phone (703) 578-0707, or through Pham, Tri via phone (703) 578-0707.

Contact Information

Primary practice address
5985 Columbia Pike Suite 102 Falls Church VA 22041-2043
Phone: (703) 578-0707
Fax: (703) 578-0909
Website:
Map and Directions
Authorized official contact:
Name: Pham, Tri Doctor of Medicine (MD)
Phone: (703) 578-0707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101235759 Virginia

Profile Details

NPI number 1417142167
LBN Legal business name Tricare Medical Group, Pc
DBA Doing business as
Authorized official Pham, Tri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Nov 10th, 2011 - about 15 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 1417142167 NPPES
Virginia MEDICAID 010199620

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