Graduated: 2018
NPI: 1962908038
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
4700 ALLIANCE BLVD
PLANO, TX 750935323
HEALTHTEXAS PROVIDER NETWORK
821 N COLEMAN ST, SUITE 100
PROSPER, TX 750782339
4698005200
Source: CMS National Downloadable File, September 2026.