Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2005
NPI: 1194920140
Practice Locations (3)
LEGACY CARE ACO LLC
7600 AUTUMN PARK WAY
MECHANICSVILLE, VA 231163868
8047300009
LEGACY CARE LLC
2901 S LYNNHAVEN RD, SUITE 450
VIRGINIA BEACH, VA 234528524
LEGACY CARE LLC
780 LYNNHAVEN PKWY, SUITE 400
VIRGINIA BEACH, VA 234527332
7575362246
Source: CMS National Downloadable File, September 2026.