Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1991
NPI: 1629089156
Practice Locations (2)
6701 HERITAGE PKWAY, SUITE 140
ROCKWALL, TX 750878799
6701 HERITAGE PKWY, SUITE 140
ROCKWALL, TX 750878799
9724631253
Source: CMS National Downloadable File, September 2026.