Graduated: 1979
NPI: 1326088469
Practice Locations (2)
121 GASLIGHT MEDICAL PKWY, SUITE 100
LUFKIN, TX 759043150
9366993141
PUBLIC HOSPITAL DIST NO 1 SKAGIT
211 S 13TH ST
MOUNT VERNON, WA 982744107
3608145900
Source: CMS National Downloadable File, September 2026.