Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1986
NPI: 1326144304
Practice Locations (2)
405 INTERSTATE HWY 121 BYPASS, BLDG A SUITE 150
LEWISVILLE, TX 750674147
4693121130
LEGACY HEALTHCARE SERVICES INC
800 COLLEGE PKWY
LEWISVILLE, TX 750773503
9724208543
Source: CMS National Downloadable File, September 2026.