Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
NPI: 1548203433
Practice Locations (2)
1000 LIPSCOMB ST, SUITE 110
FORT WORTH, TX 761043181
817348860032613
1770 E BROAD ST, SUITE 102
MANSFIELD, TX 760639145
8174426482
Source: CMS National Downloadable File, September 2026.