Graduated: 2019
NPI: 1568011336
Practice Locations (2)
IES ER OKLAHOMA LLC
6161 S YALE AVE
TULSA, OK 741361902
9184942200
NORTHEAST TEXAS EMERGENCY PHYSICIANS PLLC
700 E MARSHALL AVE
LONGVIEW, TX 756015580
9033152000
Source: CMS National Downloadable File, September 2026.