Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1154436145
Practice Locations (2)
ELITE HOSPITAL PARTNERS OF OKLAHOMA
5602 SW LEE BLVD
LAWTON, OK 735059635
5805314700
EHP OF PONCA CITY LLC
1900 N 14TH ST
PONCA CITY, OK 746012035
5807653321
Source: CMS National Downloadable File, September 2026.