Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2017
Offers telehealth
NPI: 1265966717
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
1500 S MAIN ST OPC 2ND FLOOR, UROLOGY
FORT WORTH, TX 761044917
8177023000
Source: CMS National Downloadable File, September 2026.