Fairfax Family Practice Centers PC
Family Medicine in Herndon, VA. Organization (NPI-2).
NPI number1205944964
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1205944964
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairfax Family Practice Centers PC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
381 Elden St Ste 1000Herndon, VA 20170-4842
Phone 703-481-1505 · Fax 703-742-8793
Mailing address
381 Elden St Ste 1000Herndon, VA 20170-4842
Phone 703-481-1505 · Fax 703-742-8793
Authorized official
David W Lee
President
7034246338
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