Graduated: 2005
NPI: 1851470140
Practice Locations (2)
ESS OF FORDYCE LLC
201 N CLIFTON ST
FORDYCE, AR 717423026
8703526300
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
201 N CLIFTON ST
FORDYCE, AR 717423026
8703526300
Source: CMS National Downloadable File, September 2026.