Graduated: 2020
NPI: 1588273080
Practice Locations (2)
MED SOUTHWEST PLLC
1425 E LINCOLN RD, A1 MED SOUTHWEST PLLC DBA TEXARKANA E
IDABEL, OK 747457345
5802866000
MED SOUTHWEST PLLC
8215 S MINGO RD, SUITE 100
TULSA, OK 741334671
9182527432
Source: CMS National Downloadable File, September 2026.