Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1912161589
Practice Locations (2)
OLIVER STREET 5.01(A) INC
1367 DOMINION PLZ
TYLER, TX 757031013
9035346200
OLIVER STREET 5.01(A) INC
300 RICHLAND W CIR, 2C U.S. DERMATOLOGY PARTNERS
WACO, TX 767127935
2543406000
Source: CMS National Downloadable File, September 2026.