Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1992
NPI: 1306861448
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
CS PACS 3 SOUTHWEST, LLC
310 E LAWRENCE ST
DAYTON, TX 775351805
9362587227
Source: CMS National Downloadable File, September 2026.