Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1235103334
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
LEGACY HEALTHCARE SERVICES INC
5400 LAUREL LAKE DR
WACO, TX 767102835
2543996633
Source: CMS National Downloadable File, September 2026.