Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2006
NPI: 1013105543
Practice Locations (2)
FEP WEST LLC
1901 RED ROCK DR
GALLUP, NM 873015683
5058637000
FEDKO EMERGENCY PHYSICIANS NEW MEXICO, LLC
1016 E ROOSEVELT AVE
GRANTS, NM 870202118
5052874446
Source: CMS National Downloadable File, September 2026.