Graduated: 2020
NPI: 1104409481
Practice Locations (2)
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3601 4TH ST
LUBBOCK, TX 794300002
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
602 INDIANA AVE
LUBBOCK, TX 794153364
8067431842
Source: CMS National Downloadable File, September 2026.