Graduated: 2018
NPI: 1669977617
Practice Locations (2)
CONCORD MEDICAL GROUP OF TEXAS PLLC
1100 E LOOP, SUITE 304
CROCKETT, TX 758351810
9365463891
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
1310 PALUXY RD
GRANBURY, TX 760485655
8175732273
Source: CMS National Downloadable File, September 2026.