Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2011
NPI: 1386018901
Practice Locations (2)
4557 S WESTERN ST, SUITE B4
AMARILLO, TX 791098044
2021 E VILLAGE GREEN CIR, SUITE C
DRAPER, UT 840205500
Source: CMS National Downloadable File, September 2026.