Graduated: 2021
NPI: 1043943202
Practice Locations (3)
2304 OAK LN, SUITE 220
GRAND PRAIRIE, TX 750518817
8173859359
BORDER REGION MH MR COMMUNITY CENTER
1500 PAPPAS ST
LAREDO, TX 780411701
9567943000
BORDER REGION MH MR COMMUNITY CENTER
101 1ST ST
ZAPATA, TX 780763319
9567949664
Source: CMS National Downloadable File, September 2026.