Graduated: 1969
NPI: 1861404824
Practice Locations (3)
7777 FOREST LANE, A222
DALLAS, TX 752302560
7777 FOREST LN
DALLAS, TX 752302560
9725667970
LEGACY HEALTHCARE SERVICES INC
800 COLLEGE PKWY
LEWISVILLE, TX 750773503
9724208543
Source: CMS National Downloadable File, September 2026.