Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1316959695
Practice Locations (3)
219 HEALTH NETWORK INC
100 W CHICAGO AVE, SUITE F
EAST CHICAGO, IN 463123261
2193927016
219 HEALTH NETWORK INC
4320 FIR ST
EAST CHICAGO, IN 463123078
COMMUNITY CARE NETWORK INC
4320 FIR ST, UNIT 410
EAST CHICAGO, IN 463123078
2193927665
Source: CMS National Downloadable File, September 2026.