Usa Medical, Pa

NPI 1750674172 - Physician Assistant - 363A00000X

NPI Details
NPI 1750674172
Enumeration Date 05/18/2011
Last Updated 05/18/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LISA JOHNSON LISA
Position DIRECTOR
Phone (240) 235-5895
Fax (214) 276-1359
Practice Location
2410 W MEMORIAL RD
SUITE C432
OKLAHOMA CITY OK, 73134-8047, US
Phone (240) 235-5895
Fax (214) 276-1359
Business Location
PO BOX 797604
DALLAS TX, 75379-7604, US
Phone (214) 235-5895
Fax (214) 276-1359
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number K3775
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According to our database, Usa Medical, Pa NPI is 1750674172, taxonomy code is 363A00000X and license number is K3775, license state is located at Texas. Usa Medical, Pa physically located at 2410 W Memorial Rd, Oklahoma City OK, 73134-8047. NPI Number 1033115704 has the healthcare provider type.

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1750674172 NPI number is provided on an as is basis without warranty of any kind. 1750674172 is maintained by the National Plan & Provider Enumeration System. The contents of Usa Medical, Pa are for informational purposes only.