Provider Demographics
NPI:1710421953
Name:USA MEDICAL PA
Entity Type:Organization
Organization Name:USA MEDICAL PA
Other - Org Name:WEST TEXAS PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARWIN
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:GRIFFETH
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:214-770-2833
Mailing Address - Street 1:5710 LBJ FWY
Mailing Address - Street 2:SUITE 325
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6324
Mailing Address - Country:US
Mailing Address - Phone:214-396-4266
Mailing Address - Fax:214-615-2955
Practice Address - Street 1:2424 50TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2549
Practice Address - Country:US
Practice Address - Phone:806-792-7888
Practice Address - Fax:806-792-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1967208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty