Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1978
Offers telehealth
NPI: 1326102138
Practice Locations (2)
12200 PARK CENTRAL DR, SUITE 180
Dallas, TX 752512123
12200 PARK CENTRAL DR
DALLAS, TX 752512123
2145433325
Source: CMS National Downloadable File, September 2026.