Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1992906556
Practice Locations (2)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
400 W MAGNOLIA AVE
FORT WORTH, TX 761047617
8172889800
PALO PINTO COUNTY HOSPITAL DISTRICT
101 HOLLY HILL RD, SUITE B
MINERAL WELLS, TX 760675005
9404637101
Source: CMS National Downloadable File, September 2026.