Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2025
NPI: 1245180140
Practice Locations (2)
2600 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATTANOOGA, TN 37402
PO BOX, SUITE 840384
DALLAS, TX 752840384
Source: CMS National Downloadable File, September 2026.