Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1023964376
Practice Locations (2)
11511 S 42ND ST, SUITE 106
BELLEVUE, NE 681231089
1016 HICKORY HILL RD
Papillion, NE 680466227
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1023964376
11511 S 42ND ST, SUITE 106
BELLEVUE, NE 681231089
1016 HICKORY HILL RD
Papillion, NE 680466227
Source: CMS National Downloadable File, September 2026.