Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1760470439
Practice Locations (2)
2602 SAINT MICHAEL DR
TEXARKANA, TX 755032387
9036141000
2602 SAINT MICHAEL DR, SUITE 201A
TEXARKANA, TX 755032387
9037921216
Source: CMS National Downloadable File, September 2026.