Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2002
Also: GENERAL PRACTICE
NPI: 1043391758
Practice Locations (1)
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, P.A.
1211 E CLIFF DR
EL PASO, TX 799024734
9155916226
Source: CMS National Downloadable File, September 2026.