Organization
QUANG TRUC TRAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUANG TRUC TRAN M.D. (PRESIDENT)
(703) 538-6248
Entity
Organization
Contact information
Practice address
7297 LEE HWY STE E, FALLS CHURCH, VA 22042-1707
(703) 538-6248
(703) 538-6403
Mailing address
7297 LEE HWY STE E, FALLS CHURCH, VA 22042-1707
(703) 538-6248
(703) 538-6403
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
00101041832
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006068227
—
VA
01
—
054861
ANTHEM HEALTH KEEPER
—
01
—
281798
AMERIGROUP
—
01
—
530080001
CARE FIRST BLUE CROSS BLUE SHIELD OF DC
—
Enumeration date
05/24/2012
Last updated
05/24/2012
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