Graduated: 1986
NPI: 1851318539
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
821 N COLEMAN ST, SUITE 100
PROSPER, TX 750782339
4698005200
HEALTHTEXAS PROVIDER NETWORK
200 N VIRGINIA ST, BAYLOR SCOTT AND WHITE FAM MED CTR TERRELL
TERRELL, TX 751602732
4698003100
Source: CMS National Downloadable File, September 2026.