Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2006
NPI: 1285823526
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
5400 LAUREL LAKE DR
WACO, TX 767102835
2543996633
PROVIDENCE HEALTH ALLIANCE
6901 MEDICAL PKWY
WACO, TX 767127910
2547514000
Source: CMS National Downloadable File, September 2026.