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General NPI Number Information
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NPI Number | 1710421953
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Entity Type | Organization
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Legal Business Name | USA MEDICAL PA
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 2424 50TH ST SUITE 101
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City | LUBBOCK
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State | TX
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Zip | 79412-2549
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Country | US
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Telephone | 806-792-7888
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Fax | 806-792-6881
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Provider Business Mailing Address
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Address Line | 5710 LBJ FWY SUITE 325
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City | DALLAS
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State | TX
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Zip | 75240-6324
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Country | US
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Telephone | 214-396-4266
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Fax | 214-615-2955
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Authorized Official
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Title or Position | PRESIDENT/CHIEF EXECUTIVE DIRECTOR
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Name | DR. DARWIN IRA GRIFFETH IV
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Credential | D.C.
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Telephone | 214-770-2833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | H1967
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License Number State | TX
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