Graduated: 2019
NPI: 1023971553
Practice Locations (2)
NR MIDWEST CITY LLC
8121 NATIONAL AVE, SUITE 105
MIDWEST CITY, OK 731107570
4056944042
NR SHAWNEE LLC
3700 N KICKAPOO AVE, SUITE 116
SHAWNEE, OK 748040007
4055518103
Source: CMS National Downloadable File, September 2026.