Graduated: 2015
Offers telehealth
NPI: 1831197482
Practice Locations (3)
PO BOX, SUITE 1248
SALADO, TX 76571
RCO PROVIDER ENROLLMENT, AIRPORT RD MS AR M200
Temple, TX 765027092
RCO PROVIDER ENROLLMENT, 5201 AIRPORT RD MS AR M200
TEMPLE, TX 765027092
Source: CMS National Downloadable File, September 2026.