Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1998
Offers telehealth
NPI: 1194713933
Practice Locations (1)
OLIVER STREET 5.01(A) INC
1367 DOMINION PLZ
TYLER, TX 757031013
9035346200
Source: CMS National Downloadable File, September 2026.