| Bristow Run Family Practice, Pc | |
|
14540 John Marshall Hwy Suite 104 Gainesville VA 20155-1691 | |
| (703) 753-9799 | |
| (703) 753-9792 |
| Full Name | Bristow Run Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14540 John Marshall Hwy, Gainesville, Virginia |
| Authorized Official Name and Position | Steven J Tang (PRESIDENT) |
| Authorized Official Contact | 7037539799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristow Run Family Practice, Pc 14540 John Marshall Hwy Suite 104 Gainesville VA 20155-1691 Ph: (703) 753-9799 | Bristow Run Family Practice, Pc 14540 John Marshall Hwy Suite 104 Gainesville VA 20155-1691 Ph: (703) 753-9799 |
| NPI Number | 1114018249 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114018249 | NPI | - | NPPES |
| H28451 | Other | VA | UPIN DR. STEVEN TANG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101230910 (Virginia) | Primary |
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