Active NPI 1245228063 Individual Practitioner Female Practitioner

Dr. Mary Elizabeth Fleischli , MD

Dermatology • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mary Fleischli, MD is a certified Dermatology practicing in Dallas, TX. With approximately 33 years of clinical experience since graduating from Harvard Medical School in 1993, Dr. Fleischli delivers high-quality medical care to the local community at 10703 PRESTON RD.

Dr. Fleischli maintains professional affiliations with Skin And Cancer Associates, Pdp Of Texas, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10703 Preston Rd

Dallas, TX 752303806

Telephone 2149873376

Associated Practice Facility / Clinic

🏢 J Robert West, M.d., Inc Facility NPI 1932154788

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

109 Specialists

Practicing in Dallas, TX (1210 Statewide)

Telehealth Adoption Rate

9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fleischli (33 Years) 33 Yrs

Dallas Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,147	268	$15.00	$7.00
17000 Destruction of skin growth	514	431	$151.00	$43.83
99213 Established patient office or other outpatient visit, typically 15 minutes	502	430	$197.00	$94.51
17110 Destruction of up to 14 skin growths	484	420	$259.00	$116.37
11102 Tangential biopsy of single skin lesion	255	234	$227.00	$72.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	205	$277.00	$133.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	30	$18.00	$0.98
11103 Biopsy of related skin growth, each additional growth	62	47	$113.00	$52.67
17111 Destruction of skin growth, 15 or more growths	43	34	$301.00	$138.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$241.00	$115.66
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	26	$321.00	$141.19
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	26	$781.00	$388.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$124.00	$58.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$359.00	$173.78
11900 Injection into skin growth, 1-7 growths	24	20	$128.00	$41.46
69100 Biopsy of ear	17	17	$213.00	$79.63
17004 Destruction of precancer skin growth, 15 or more growths	16	13	$376.00	$175.49
10060 Simple or single drainage of skin abscess	15	15	$283.00	$124.38
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	11	$334.00	$140.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$32.00	$15.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$53.00	$23.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,432	330	$14.00	$6.83
99213 Established patient office or other outpatient visit, typically 15 minutes	659	541	$186.00	$90.74
17000 Destruction of skin growth	603	488	$136.00	$41.25
17110 Destruction of up to 14 skin growths	585	493	$236.00	$113.37
11102 Tangential biopsy of single skin lesion	357	315	$217.00	$74.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	168	$253.00	$128.18
11103 Biopsy of related skin growth, each additional growth	86	60	$110.00	$50.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$228.00	$112.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	69	$115.00	$57.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	66	25	$18.00	$1.06
17004 Destruction of precancer skin growth, 15 or more growths	38	28	$343.00	$172.22
17111 Destruction of skin growth, 15 or more growths	38	32	$276.00	$132.03
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	24	$304.47	$143.34
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	31	21	$781.70	$384.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$340.00	$162.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$307.00	$174.21
11900 Injection into skin growth, 1-7 growths	18	16	$116.00	$38.70
10060 Simple or single drainage of skin abscess	17	16	$254.00	$124.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$47.00	$23.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	11	$307.00	$141.53
69100 Biopsy of ear	13	13	$205.00	$56.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,051	417	$14.00	$6.99
99213 Established patient office or other outpatient visit, typically 15 minutes	839	652	$186.00	$91.44
17000 Destruction of skin growth	757	608	$136.00	$41.97
17110 Destruction of up to 14 skin growths	690	582	$236.00	$113.20
11102 Tangential biopsy of single skin lesion	480	399	$217.00	$74.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	177	$253.00	$129.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	55	$18.00	$1.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$228.00	$111.78
11103 Biopsy of related skin growth, each additional growth	135	103	$110.00	$52.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	110	$115.00	$57.13
17111 Destruction of skin growth, 15 or more growths	64	57	$276.00	$134.77
17004 Destruction of precancer skin growth, 15 or more growths	37	26	$343.00	$173.90
11900 Injection into skin growth, 1-7 growths	34	29	$116.00	$37.65
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	33	31	$586.45	$388.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	31	$304.00	$148.50
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	24	$307.00	$139.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	26	$29.00	$14.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	22	$307.00	$176.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$340.00	$168.15
10060 Simple or single drainage of skin abscess	20	18	$254.00	$124.53
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$149.00	$69.68
11104 Punch biopsy, first skin growth	16	14	$270.00	$124.79
69100 Biopsy of ear	14	14	$205.00	$64.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,683	349	$13.40	$6.80
99213 Established patient office or other outpatient visit, typically 15 minutes	762	599	$180.22	$92.75
17000 Destruction of skin growth	636	524	$135.83	$40.32
17110 Destruction of up to 14 skin growths	612	513	$235.03	$114.20
11102 Tangential biopsy of single skin lesion	424	367	$217.75	$76.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	141	$221.84	$130.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	153	51	$18.00	$1.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	142	$111.71	$57.44
11103 Biopsy of related skin growth, each additional growth	109	82	$112.20	$54.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$226.97	$114.03
17111 Destruction of skin growth, 15 or more growths	82	66	$274.66	$137.17
17004 Destruction of precancer skin growth, 15 or more growths	67	47	$333.18	$169.18
11900 Injection into skin growth, 1-7 growths	44	40	$115.86	$35.04
10060 Simple or single drainage of skin abscess	38	38	$252.84	$118.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	38	34	$311.18	$168.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	34	30	$430.00	$390.33
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	29	$299.70	$151.98
69100 Biopsy of ear	22	21	$205.36	$65.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$30.86	$14.49
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$150.85	$71.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$339.17	$170.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,584	300	$11.00	$6.30
99213 Established patient office or other outpatient visit, typically 15 minutes	794	590	$149.00	$76.64
17000 Destruction of skin growth	524	443	$135.00	$39.31
17110 Destruction of up to 14 skin growths	471	401	$229.00	$111.65
11102 Tangential biopsy of single skin lesion	379	309	$222.00	$72.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	163	41	$18.00	$1.45
11103 Biopsy of related skin growth, each additional growth	118	80	$120.00	$55.25
17004 Destruction of precancer skin growth, 15 or more growths	88	59	$296.00	$164.23
17111 Destruction of skin growth, 15 or more growths	76	63	$271.00	$133.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$220.00	$108.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$90.00	$46.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	25	$42.00	$14.70
10060 Simple or single drainage of skin abscess	26	25	$243.00	$115.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	24	$360.00	$176.58
11900 Injection into skin growth, 1-7 growths	24	22	$115.00	$33.36
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$153.00	$78.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$220.00	$112.02
69100 Biopsy of ear	18	18	$207.00	$70.87
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	17	14	$430.00	$391.77
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	14	$233.00	$136.01
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	12	$383.00	$188.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,746	323	$11.00	$5.71
99213 Established patient office or other outpatient visit, typically 15 minutes	809	586	$149.00	$74.94
17000 Destruction of skin growth	563	453	$135.00	$38.62
17110 Destruction of up to 14 skin growths	471	398	$229.00	$109.87
11102 Tangential biopsy of single skin lesion	386	328	$220.70	$71.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	145	41	$18.00	$1.58
11103 Biopsy of related skin growth, each additional growth	124	78	$119.02	$54.55
17004 Destruction of precancer skin growth, 15 or more growths	89	59	$296.00	$153.48
17111 Destruction of skin growth, 15 or more growths	79	64	$271.00	$129.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$220.00	$108.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	25	$360.00	$155.06
69100 Biopsy of ear	27	24	$207.00	$65.23
10060 Simple or single drainage of skin abscess	24	22	$243.00	$110.11
11900 Injection into skin growth, 1-7 growths	23	21	$115.00	$31.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	19	$42.00	$17.02
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	20	20	$233.00	$125.57
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	20	$418.50	$389.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$90.00	$45.44
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$153.00	$77.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,502	319	$15.22	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	848	597	$151.55	$72.86
17000 Destruction of skin growth	545	458	$135.00	$39.42
17110 Destruction of up to 14 skin growths	531	436	$217.20	$107.91
11100 Biopsy of single growth of skin and/or tissue	377	315	$197.73	$76.42
11101 Biopsy of each additional growth of skin and/or tissue	110	79	$67.42	$32.03
17004 Destruction of precancer skin growth, 15 or more growths	106	74	$319.11	$145.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	26	$18.00	$1.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$207.26	$104.66
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$128.05	$72.80
17111 Destruction of skin growth, 15 or more growths	41	33	$265.39	$129.83
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	28	$325.13	$152.64
11900 Injection into skin growth, 1-7 growths	25	23	$109.60	$33.00
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	23	18	$400.00	$393.85
69100 Biopsy of ear	23	22	$192.52	$64.35
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	18	$226.45	$115.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$87.37	$44.30
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	17	$196.68	$57.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$57.75	$20.77
10060 Simple or single drainage of skin abscess	13	13	$231.92	$110.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,512	336	$23.00	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	891	640	$154.89	$71.58
17000 Destruction of skin growth	594	477	$134.97	$39.18
17110 Destruction of up to 14 skin growths	581	467	$199.93	$106.76
11100 Biopsy of single growth of skin and/or tissue	395	339	$175.00	$72.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	31	$18.00	$1.76
17004 Destruction of precancer skin growth, 15 or more growths	102	74	$345.00	$145.28
11101 Biopsy of each additional growth of skin and/or tissue	101	69	$68.00	$30.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	60	$85.00	$43.26
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$120.00	$74.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	31	$70.00	$24.58
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	26	$280.00	$154.53
69100 Biopsy of ear	31	30	$170.00	$70.79
11900 Injection into skin growth, 1-7 growths	29	21	$100.00	$42.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$175.00	$106.85
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	14	$400.00	$354.14
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	14	$217.00	$134.86
10060 Simple or single drainage of skin abscess	12	12	$195.00	$116.28

Medical Specialties & State Licenses

CMS Verified: 2025-07-30

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX K3186

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License FL ME145919

Hospital & Practice Group Affiliations

Pdp Of Texas, Pllc

10703 Preston Rd, Dallas, TX 752303806

Phone: 2149873376

Pdp Of Texas, Pllc

6750 N Macarthur Blvd, Irving, TX 750392489

Phone: 2149873376

Pdp Of Texas, Pllc

411 N Washington Ave, Dallas, TX 752461776

Phone: 2149873376

Pdp Of Texas, Pllc

7000 Preston Rd, Plano, TX 750242573

Phone: 2149873376

Pdp Of Texas, Pllc

10711 Preston Rd, Dallas, TX 752303805

Phone: 2149873376

Skin And Cancer Associates

4500 Biscayne Blvd, Miami, FL 331373227

Phone: 3055325552

Secondary Practice Locations

10703 Preston Rd

Dallas, TX 752303806

Phone: 2149873376

10711 Preston Rd Ste 100

Dallas, TX 752303805

Phone: 2149873376

4500 Biscayne Blvd Ste 101

Miami, FL 331373227

Phone: 3055325552

6750 N Macarthur Blvd Ste 260

Irving, TX 750392489

Phone: 2149873376

411 N Washington Ave Ste 4000

Dallas, TX 752461776

Phone: 2149873376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Dr. Chaitanya Kalathuru , MD

Radiology - Diagnostic Radiology

NPI 1043061260

Doctor of Medicine (M.D.)

Dr. Christine Landry , MD

Surgery - Surgical Oncology

NPI 1083742662

Doctor of Medicine (M.D.)

Dr. Katelin Harrell , MD

Dermatology

NPI 1326608852

Doctor of Medicine (M.D.)

Dr. Bahir Chamseddin , MD

Dermatology

NPI 1336776137

Doctor of Medicine (M.D.)

Dr. Trenton Custis , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1356575344

Doctor of Medicine (M.D.)

Dr. Sarah Rodman , MD

Dermatology

NPI 1376592626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address July 30, 2025

Registered at 9900 N CENTRAL EXPY STE 500, DALLAS, TX 752310928 (Tel: 2149873376)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Dermatology (License #ME145919 in FL)

📍

Updated Business Mailing Address July 02, 2024

Registered at 12700 PARK CENTRAL DR STE 1210, DALLAS, TX 752511522 (Tel: 2149873376)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Dermatology (License #K3186 in TX)

📍

Updated Practice Location August 15, 2022

Registered at 10703 PRESTON RD, DALLAS, TX 752303806 (Tel: 2149873376)

📍

Updated Business Mailing Address August 15, 2022

Registered at 10703 PRESTON RD, DALLAS, TX 752303806 (Tel: 2149873376)

✅

NPI Profile Active October 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2012

Registered at 5924 ROYAL LN, SUITE 104, DALLAS, TX 752307891 (Tel: 2149873376)

📍

Updated Business Mailing Address October 12, 2012

Registered at 5924 ROYAL LN, SUITE 104, DALLAS, TX 752307891 (Tel: 2149873376)

👤

Provider Name / Credentials Updated October 12, 2012

Recorded as MARY FLEISCHLI, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2012

Dermatology (License #K3186 in TX)

🟢

Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mary Fleischli. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245228063

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2005

Last Update: July 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9900 N Central Expy Ste 500

Dallas, TX 752310928

Phone: 2149873376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.