Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2005
NPI: 1982813028
Practice Locations (2)
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST
DALLAS, TX 752461608
HEALTHTEXAS PROVIDER NETWORK
411 N WASHINGTON AVE, 3000 BAYLOR SCOTT AND WHITE SIGNATURE MEDC TO
DALLAS, TX 752461749
2148208361
Source: CMS National Downloadable File, September 2026.