Graduated: 2006
NPI: 1356515845
Practice Locations (2)
8722 GREENVILLE AVE, SUITE 101
DALLAS, TX 752437165
2143025896
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
1016 TACOMA AVE
SUNNYSIDE, WA 989442263
5098371500
Source: CMS National Downloadable File, September 2026.