Organization
TYSON'S PAIN CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI HASSAN NAGIA M.D. (PRESIDENT)
(703) 897-1300
Entity
Organization
Contact information
Practice address
8133 LEESBURG PIKE, SUITE 305, VIENNA, VA 22182-2751
(703) 897-1300
(703) 897-1301
Mailing address
8133 LEESBURG PIKE, SUITE 305, VIENNA,, VA 22182-2706
(703) 897-1300
(703) 897-1301
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
0101057229
VA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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