Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1998
NPI: 1568502912
Practice Locations (2)
1923 S UTICA AVE, CREDENTIALING GROUND FL
Tulsa, OK 741046520
1923 S UTICA AVE
TULSA, OK 741046520
Source: CMS National Downloadable File, September 2026.