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Organization
USA MEDICAL, PA
Active
Organization
USA MEDICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA JOHNSON KIRK D.O (DIRECTOR)
(240) 235-5895
Entity
Organization
Contact information
Practice address
2410 W MEMORIAL RD, SUITE C432, OKLAHOMA CITY, OK 73134-8047
(240) 235-5895
(214) 276-1359
Mailing address
PO BOX 797604, DALLAS, TX 75379-7604
(214) 235-5895
(214) 276-1359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
K3775
TX
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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