Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1689626376
Practice Locations (1)
TULSA HOSPITAL MEDICINE PHYSICIANS GROUP, LLC
10502 N 110TH E AVE, BAILEY MEDICAL CENTER
OWASSO, OK 740556655
9185792300
Source: CMS National Downloadable File, September 2026.