Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2006
NPI: 1205017308
Practice Locations (2)
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
1310 PALUXY RD
GRANBURY, TX 760485655
8175732273
SHANNON CLINIC
120 E HARRIS AVE
SAN ANGELO, TX 769035904
3257476741
Source: CMS National Downloadable File, September 2026.