Graduated: 2002
NPI: 1013221969
Practice Locations (4)
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
2000 W 21ST ST, SUITE R1
CLOVIS, NM 881014098
5759350944
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
42121 US HWY 70
Portales, NM 881309054
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
42121 US HWY 70
PORTALES, NM 881309054
5753566652
3120 CAPITAL WAY, UNIT 602
FORT WORTH, TX 761774305
8177043345
Source: CMS National Downloadable File, September 2026.