Graduated: 2013
NPI: 1093145419
Practice Locations (3)
7725 W RENO AVE, SUITE 150
OKLAHOMA CITY, OK 731279712
128 MOUNTAIN MEADOW LN
CLINTON, TN 377167137
1225 E WEISGARBER RD
KNOXVILLE, TN 379092604
Source: CMS National Downloadable File, September 2026.