Medical school: PACIFIC MEDICAL COLLEGE
Graduated: 2011
NPI: 1205106333
Practice Locations (3)
1301 AIRPORT FWY, SUITE 100
BEDFORD, TX 76021
9240 SHIELDS ST
FORT WORTH, TX 76244
5601 EXECUTIVE DR, SUITE 250
IRVING, TX 750382803
Source: CMS National Downloadable File, September 2026.