Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2005
NPI: 1710970256
Practice Locations (1)
SOUTHWEST FAMILY EYE HEALTH CENTER, PLLC
1300 W ROSEDALE ST, SUITE B
FORT WORTH, TX 761042824
8178857951
Source: CMS National Downloadable File, September 2026.