Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1988
NPI: 1336226174
Practice Locations (2)
MED SOUTHWEST PLLC
6114 COLLEYVILLE BLVD
COLLEYVILLE, TX 760346221
8174160333
MED SOUTHWEST PLLC
8329 WHITLEY RD
WATAUGA, TX 761482483
8174312020
Source: CMS National Downloadable File, September 2026.