Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
NPI: 1306894035
Practice Locations (1)
FAITH REGIONAL PHYSICIAN SERVICES LLC
2700 W NORFOLK AVE, FAITH REGIONAL HEALTH SERVICES
NORFOLK, NE 687014438
4023714880
Source: CMS National Downloadable File, September 2026.