Provider Demographics
NPI:1578732871
Name:USA MEDICAL PLLC
Entity Type:Organization
Organization Name:USA MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BINH
Authorized Official - Middle Name:DAC
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-276-8500
Mailing Address - Street 1:4431 W WALNUT ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4107
Mailing Address - Country:US
Mailing Address - Phone:972-276-8500
Mailing Address - Fax:469-814-9380
Practice Address - Street 1:4431 W WALNUT ST
Practice Address - Street 2:SUITE D
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4107
Practice Address - Country:US
Practice Address - Phone:972-276-8500
Practice Address - Fax:469-814-9380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3236207P00000X, 207Q00000X
TXTEXAS TEMP363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty