Graduated: 2005
NPI: 1457553877
Practice Locations (2)
FANNIN COUNTY HOSPITAL AUTHORITY
1211 E 6TH ST, SUITE 400
BONHAM, TX 754184094
9036404809
FANNIN COUNTY HOSPITAL AUTHORITY
505 LIPSCOMB ST
BONHAM, TX 754184027
9036404809
Source: CMS National Downloadable File, September 2026.