| Dr-al Family And Urgent Care, Plc | |
|
14914 Jefferson Davis Hwy Woodbridge VA 22191-4016 | |
| (540) 446-4706 | |
| (540) 658-1110 |
| Full Name | Dr-al Family And Urgent Care, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14914 Jefferson Davis Hwy, Woodbridge, Virginia |
| Authorized Official Name and Position | Liqaa Said Al-khozaie (PRESIDENT OF THE CORPORATION) |
| Authorized Official Contact | 5404464706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr-al Family And Urgent Care, Plc 27 Crawford Ln Stafford VA 22556-6473 Ph: (540) 446-4706 | Dr-al Family And Urgent Care, Plc 14914 Jefferson Davis Hwy Woodbridge VA 22191-4016 Ph: (540) 446-4706 |
| NPI Number | 1669629424 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 08/25/2008 |
| Medicare PECOS PAC ID | 9234280330 |
|---|---|
| Medicare Enrollment ID | O20090701000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669629424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101236747 (Virginia) | Primary |
| Provider Name | Liqaa S Al Khozaie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063514552 PECOS PAC ID: 9638109986 Enrollment ID: I20050816000829 |
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