Graduated: 2016
NPI: 1518317585
Practice Locations (3)
HEALTHTEXAS PROVIDER NETWORK
3500 GASTON AVE, FL 1
DALLAS, TX 752462017
9728176100
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
HEALTHTEXAS PROVIDER NETWORK
7217 TELECOM PKWY, SUITE 250
GARLAND, TX 750442211
4698002010
Source: CMS National Downloadable File, September 2026.