Graduated: 2020
NPI: 1700407301
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
800 COLLEGE PKWY
LEWISVILLE, TX 750773503
9724208543
PAM PHYSICIAN ENTERPRISE
401 W CAMPBELL RD, FL 5
RICHARDSON, TX 750803416
4698729200
Source: CMS National Downloadable File, September 2026.