Graduated: 2016
NPI: 1003269580
Practice Locations (2)
PREMIER INDEPENDENT PHYSICIANS GROUP INC
133 N FM, 730 UNIT 105
BOYD, TX 760233072
9404425209
WISE OBSTETRICS AND GYNECOLOGY PA
2451 S FM, 51 SUITE 300
DECATUR, TX 762343861
9406268008
Source: CMS National Downloadable File, September 2026.