Graduated: 2011
NPI: 1336420595
Practice Locations (2)
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
1310 PALUXY RD
GRANBURY, TX 760485655
8175732273
LUBBOCK COUNTY HOSPITAL DISTRICT
602 INDIANA AVE
LUBBOCK, TX 794153364
8067759700
Source: CMS National Downloadable File, September 2026.