Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2010
NPI: 1386957769
Practice Locations (2)
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
LEGACY HEALTHCARE SERVICES INC
5400 LAUREL LAKE DR
WACO, TX 767102835
2543996633
Source: CMS National Downloadable File, September 2026.