Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1740506120
Practice Locations (2)
PREMIER PROVIDER HEALTH PA
9301 N CENTRAL EXPY, SUITE 340
DALLAS, TX 752310804
2144662828
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS PLLC
1325 PENNSYLVANIA AVE, SUITE 750
FORT WORTH, TX 761042168
8172501970
Source: CMS National Downloadable File, September 2026.