Graduated: 1997
Offers telehealth
NPI: 1699958579
Practice Locations (3)
4927 LAKE RIDGE DR, SUITE 148
GRAND PRAIRIE, TX 750523087
4927 LAKE RIDGE PKWY, SUITE 148
GRAND PRAIRIE, TX 750523087
9722174203
221 REGENCY PKWY, SUITE 125
MANSFIELD, TX 760635379
8176347670
Source: CMS National Downloadable File, September 2026.