Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1508824145
Practice Locations (1)
HEALTHTEXAS PROVIDER NETWORK
301 E OVILLA RD, 100 BAYLOR SCOTT AND WHITE
RED OAK, TX 751543818
4698009200
Source: CMS National Downloadable File, September 2026.