Graduated: 2017
NPI: 1144732983
Practice Locations (5)
PROVIDENCE HEALTH ALLIANCE
2100 LAKE SHORE DR
WACO, TX 767081271
2545376160
PROVIDENCE HEALTH ALLIANCE
2100 LAKE SHORE DR, SUITE 200
WACO, TX 767081271
2545376158
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
Source: CMS National Downloadable File, September 2026.