Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1998
Offers telehealth
NPI: 1184601106
Practice Locations (1)
HEALTHTEXAS PROVIDER NETWORK
111 S PRESTON RD, 10 BAYLOR SCOTT AND WHITE PRIMARY CARE PROSPE
PROSPER, TX 750788885
4698005200
Source: CMS National Downloadable File, September 2026.