Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2012
Offers telehealth
NPI: 1265779870
Practice Locations (2)
PO BOX, SUITE 911242
DALLAS, TX 75391
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 100
RICHARDSON, TX 750823542
Source: CMS National Downloadable File, September 2026.