Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1336133826
Practice Locations (1)
JEFFERSON HOSPITAL ASSOCIATION, INC
1609 W 40TH AVE, 403 SURGICAL ASSOCIATES OF SOUTHEAST AR
PINE BLUFF, AR 716036319
8705344188
Source: CMS National Downloadable File, September 2026.