Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1487646568
Practice Locations (2)
7515 GREENVILLE AVE, SUITE 806
Dallas, TX 752313831
7515 GREENVILLE AVE, SUITE 806
DALLAS, TX 752313826
2146910800
Source: CMS National Downloadable File, September 2026.