Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1891871679
Practice Locations (2)
1604 LANCASTER DR
GRAPEVINE, TX 760512199
1604 LANCASTER DR
GRAPEVINE, TX 760513544
8174818661
Source: CMS National Downloadable File, September 2026.