Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1997
NPI: 1922257864
Practice Locations (2)
MED SOUTHWEST PLLC
1606 S JEFFERSON AVE
MT PLEASANT, TX 754555614
9035724000
MED SOUTHWEST PLLC
2703 RICHMOND RD
TEXARKANA, TX 755032328
9038380783
Source: CMS National Downloadable File, September 2026.