Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1528035284
Practice Locations (2)
PRAGUE HEALTHCARE AUTHORITY
1322 KLABZUBA AVE
PRAGUE, OK 748644900
4055674922
CROSSROADS MEDICAL MANAGEMENT LLC
2508 N HARRISON ST
SHAWNEE, OK 748043131
4055852030
Source: CMS National Downloadable File, September 2026.