Graduated: 2020
NPI: 1881221521
Practice Locations (2)
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
2800 MAIN ST
BRIDGEPORT, CT 066064201
2035766000
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
5200 HARRY HINES BLVD
DALLAS, TX 752357709
2145908000
Source: CMS National Downloadable File, September 2026.