Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2019
NPI: 1235796673
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
725 MONTCLAIR MIST LN
LA MARQUE, TX 775681597
Source: CMS National Downloadable File, September 2026.