Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1487759064
Practice Locations (2)
IES OKLAHOMA LLC
5602 SW LEE BLVD
LAWTON, OK 735059635
5805314700
ELITE HOSPITAL PARTNERS OF OKLAHOMA
5602 SW LEE BLVD
LAWTON, OK 735059635
5805314700
Source: CMS National Downloadable File, September 2026.