Jose S Tissera Md Ltd

LBN: Jose S Tissera Md Ltd
Jose S Tissera Md Ltd is an health care organization with primary practice located at 8301 Arlington Blvd #305, Fairfax VA 22031-2902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Jose S Tissera Md Ltd can be contacted via phone (703) 573-2301, or through Mcmaster, Glenda Darlene via phone (703) 573-2301.

Contact Information

Primary practice address
8301 Arlington Blvd #305 Fairfax VA 22031-2902
Phone: (703) 573-2301
Fax: (703) 573-5104
Website:
Map and Directions
Authorized official contact:
Name: Mcmaster, Glenda Darlene
Phone: (703) 573-2301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101023093 Virginia

Profile Details

NPI number 1881888667
LBN Legal business name Jose S Tissera Md Ltd
DBA Doing business as
Authorized official Mcmaster, Glenda Darlene
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 17 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 1881888667 NPPES
Virginia MEDICAID 6201156

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