Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2020
NPI: 1295363133
Practice Locations (3)
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
515 E 100, SUITE 200
SALT LAKE CITY, UT 841022095
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.