Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1981
NPI: 1366426355
Practice Locations (1)
MISSISSIPPI STATE UNIVERSITY
360 HARDY RD, LONGEST STUDENT HEALTH CENTER
MISSISSIPPI STATE, MS 397626338
6623252431
Source: CMS National Downloadable File, September 2026.