Graduated: 2020
NPI: 1861006918
Practice Locations (2)
MED SOUTHWEST PLLC
1425 E LINCOLN RD, A1 MED SOUTHWEST PLLC DBA TEXARKANA E
IDABEL, OK 747457345
5802866000
MED SOUTHWEST PLLC
8812 N COUNCIL RD
OKLAHOMA CITY, OK 731323246
4054508700
Source: CMS National Downloadable File, September 2026.