Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1588923130
Practice Locations (4)
601 S HARBOUR ISLAND BLVD, SUITE 200
TAMPA, FL 336025925
PO BOX
ATLANTA, GA 30374
100 MCDOUGAL DR
HOLDENVILLE, OK 748482899
P O BOX, SUITE 628
ESTILL SPRINGS, TN 373300628
Source: CMS National Downloadable File, September 2026.