# USA MEDICAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750674172
- **Authorized official:** DR. LISA JOHNSON KIRK D.O (DIRECTOR)
- **Authorized official phone:** (240) 235-5895

## Contact information

- **Practice address:** 2410 W MEMORIAL RD, SUITE C432, OKLAHOMA CITY, OK 73134-8047
- **Practice address phone:** (240) 235-5895
- **Practice address fax:** (214) 276-1359
- **Mailing address:** PO BOX 797604, DALLAS, TX 75379-7604
- **Mailing address phone:** (214) 235-5895
- **Mailing address fax:** (214) 276-1359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | K3775 | TX | Yes |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 05/18/2011
