Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1998
NPI: 1366411845
Practice Locations (1)
LAKE COUNTRY FAMILY MEDICINE PA
8465 BOAT CLUB RD, SUITE 115
FORT WORTH, TX 761793676
8172600535
Source: CMS National Downloadable File, September 2026.