Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1988
Also: GENERAL PRACTICE
NPI: 1326062589
Practice Locations (2)
608 N MUSKINGUM AVE
ODESSA, TX 797614539
608 N MUSKINGUM AVE, LIVELY WELLNESS AND AESTHETICS
ODESSA, TX 797614539
4325809168
Source: CMS National Downloadable File, September 2026.