Graduated: 2018
NPI: 1003375486
Practice Locations (2)
PROSPERA REHABILITATION LLC
16700 ELLA BLVD
HOUSTON, TX 770904214
8329202025
AEGIS GROUP PRACTICE LLC
6450 KINGS PARK WAY
HUMBLE, TX 773464028
7139064061
Source: CMS National Downloadable File, September 2026.