Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2004
Offers telehealth
NPI: 1083803258
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
275 BRONSON WAY NE
RENTON, WA 980564030
4252352800
Source: CMS National Downloadable File, September 2026.