Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1104906700
Practice Locations (2)
3524 NATIONAL DR
NORMAN, OK 730698222
4053608930
STATE OF OKLAHOMA
2323 S HARVARD AVE, TCBH
TULSA, OK 741143301
9182932140
Source: CMS National Downloadable File, September 2026.