Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2019
NPI: 1164983722
Practice Locations (2)
2108 E THOMAS RD, SUITE 130
Phoenix, AZ 850167761
2108 E THOMAS RD, SUITE 130
PHOENIX, AZ 850160008
Source: CMS National Downloadable File, September 2026.