Graduated: 2013
NPI: 1770015885
Practice Locations (2)
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
1310 PALUXY RD
GRANBURY, TX 760485655
8175732273
CONCORD MEDICAL GROUP OF TEXAS PLLC
215 CHISHOLM TRL
JACKSBORO, TX 764581403
9405676633
Source: CMS National Downloadable File, September 2026.