Graduated: 2009
NPI: 1538476189
Practice Locations (5)
8104 BALLY MONEY RD
TAMPA, FL 336108070
PO BOX, SUITE 5074
SIOUX FALLS, SD 57117
PO BOX, SUITE 5074
SIOUX FALLS, SD 571175074
1717 MAIN ST, SUITE 5850
Dallas, TX 752017317
1717 MAIN ST, SUITE 5850
DALLAS, TX 752014681
Source: CMS National Downloadable File, September 2026.