Graduated: 2020
NPI: 1376170217
Practice Locations (3)
1000 PARK AVE NE UNIT, 408 SUITE 800
ATLANTA, GA 303263440
6410 FANNIN ST, SUITE 135
HOUSTON, TX 770303003
6414 FANNIN ST, SUITE G125
HOUSTON, TX 770301517
Source: CMS National Downloadable File, September 2026.