Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2021
NPI: 1295314359
Practice Locations (1)
OLIVER STREET 5.01(A) INC
5030 TENNYSON PKWY, SUITE 100
PLANO, TX 750243397
9729859003
Source: CMS National Downloadable File, September 2026.