Graduated: 2024
NPI: 1154189819
Practice Locations (4)
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
HEALTHTEXAS PROVIDER NETWORK
12505 LEBANON RD, SUITE 1442
FRISCO, TX 750358298
9729633550
HEALTHTEXAS PROVIDER NETWORK
1650 W COLLEGE ST
GRAPEVINE, TX 760513565
8173883440
HEALTHTEXAS PROVIDER NETWORK
821 N COLEMAN ST, SUITE 100
PROSPER, TX 750782339
4698005200
Source: CMS National Downloadable File, September 2026.