Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1316987183
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
3400 NW EXPRESSWAY, SUITE 500
OKLAHOMA CITY, OK 731124492
4059454589
Source: CMS National Downloadable File, September 2026.