Graduated: 2007
NPI: 1134417207
Practice Locations (4)
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
PROVIDENCE HEALTH ALLIANCE
340 RICHLAND W CIR, ASCENSION MEDICAL GROUP PROVIDENCE
WACO, TX 767127919
2545376050
PROVIDENCE HEALTH ALLIANCE
342 RICHLAND W CIR
WACO, TX 767127919
2545376600
PROVIDENCE HEALTH ALLIANCE
6901 MEDICAL PKWY
WACO, TX 767127910
2547514000
Source: CMS National Downloadable File, September 2026.