Provider Demographics
NPI:1699803304
Name:USEDA AND ASSOCIATES
Entity type:Organization
Organization Name:USEDA AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:H
Authorized Official - Last Name:USEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-630-3662
Mailing Address - Street 1:222 E RIDGE RD
Mailing Address - Street 2:STE. 108
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1251
Mailing Address - Country:US
Mailing Address - Phone:965-687-7806
Mailing Address - Fax:956-994-8761
Practice Address - Street 1:101 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1248
Practice Address - Country:US
Practice Address - Phone:956-632-6405
Practice Address - Fax:956-994-8761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC6541207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty