Graduated: 2017
NPI: 1417251968
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
HEALTHTEXAS PROVIDER NETWORK
12505 LEBANON RD, SUITE 1442
FRISCO, TX 750358298
9729633550
Source: CMS National Downloadable File, September 2026.