Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1336242403
Practice Locations (1)
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC
2332 BEVERLY HILLS DR
FORT WORTH, TX 761141756
8176254254
Source: CMS National Downloadable File, September 2026.