Graduated: 2023
NPI: 1699546341
Practice Locations (3)
HEALTHTEXAS PROVIDER NETWORK
3500 GASTON AVE, FL 1
DALLAS, TX 752462017
9728176100
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
FORT WORTH INSTITUTE OF MEDICAL SCIENCES LLC
1023 LIPSCOMB ST, SUITE 201
FORT WORTH, TX 761043196
9725446600
Source: CMS National Downloadable File, September 2026.