Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2014
Also: ORAL SURGERY
NPI: 1215101209
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
5323 HARRY HINES BLVD
DALLAS, TX 753907208
2146883546
Source: CMS National Downloadable File, September 2026.