Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2001
NPI: 1780693747
Practice Locations (3)
MED SOUTHWEST PLLC
5421 BASSWOOD BLVD, SUITE 740
FORT WORTH, TX 761374483
8174282020
MED SOUTHWEST PLLC
2703 RICHMOND RD
TEXARKANA, TX 755032328
9038380783
MED SOUTHWEST PLLC
8329 WHITLEY RD
WATAUGA, TX 761482483
8174312020
Source: CMS National Downloadable File, September 2026.