Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1996
NPI: 1255321634
Practice Locations (3)
HEALTHTEXAS PROVIDER NETWORK
3900 JUNIUS ST, SUITE 500
DALLAS, TX 752461621
2148237090
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
HEALTHTEXAS PROVIDER NETWORK
821 N COLEMAN ST, SUITE 100
PROSPER, TX 750782339
4698005200
Source: CMS National Downloadable File, September 2026.