Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2012
NPI: 1669731519
Practice Locations (1)
OLIVER STREET 5.01(A) INC
2321 IRA E WOODS AVE, 180 U.S. DERMATOLOGY PARTNERS
GRAPEVINE, TX 760518632
8173292263
Source: CMS National Downloadable File, September 2026.