Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1992
NPI: 1467558510
Practice Locations (3)
PO BOX
INDIANAPOLIS, IN 46206
8 OAK PARK DR
BEDFORD, MA 017301414
4835 LBJ FWY, SUITE 900
DALLAS, TX 75244
Source: CMS National Downloadable File, September 2026.