Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1976
NPI: 1659352284
Practice Locations (3)
HEALTHTEXAS PROVIDER NETWORK
5408 COLLEYVILLE BLVD
COLLEYVILLE, TX 760345833
8174989920
DALLAS ID ASSOCIATES PA
1600 W COLLEGE ST, SUITE 130
GRAPEVINE, TX 760513575
2146897806
HEALTHTEXAS PROVIDER NETWORK
1650 W COLLEGE ST
GRAPEVINE, TX 760513565
8173883440
Source: CMS National Downloadable File, September 2026.