Graduated: 2015
NPI: 1356898381
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
12505 LEBANON RD, SUITE 1442
FRISCO, TX 750358298
9729633550
HEALTHTEXAS PROVIDER NETWORK
821 N COLEMAN ST, SUITE 100
PROSPER, TX 750782339
4698005200
Source: CMS National Downloadable File, September 2026.