Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1990
NPI: 1427037548
Practice Locations (2)
200 W COVELL RD
EDMOND, OK 730032346
4053489993
2020 E 15TH ST, SUITE B
EDMOND, OK 730136603
Source: CMS National Downloadable File, September 2026.