Graduated: 1995
NPI: 1144218918
Practice Locations (2)
CPF SJN OUTPATIENT LLC
3186 S MARYLAND PKWY
LAS VEGAS, NV 891092317
7029615000
CPF SJN OUTPATIENT LLC
2450 FONDREN RD, SUITE 312
HOUSTON, TX 770632323
7137897560
Source: CMS National Downloadable File, September 2026.