Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2000
Offers telehealth
NPI: 1730255050
Practice Locations (1)
PROPHYLAXIS HEALTHCARE LLC
23 W COMMERCIAL ST, AXIS HEALTHCARE INOLA
INOLA, OK 740363606
9185438880
Source: CMS National Downloadable File, September 2026.