Graduated: 1998
NPI: 1003012477
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
3500 GASTON AVE, FL 1
DALLAS, TX 752462017
9728176100
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
Source: CMS National Downloadable File, September 2026.