Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1995
NPI: 1427083351
Practice Locations (1)
CHOCTAW NATION OF OKLAHOMA
902 LINCOLN RD, CHOCTAW NATIONAL HEALTH CARE IDABEL
IDABEL, OK 747457817
9185677000
Source: CMS National Downloadable File, September 2026.