Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1396785903
Practice Locations (1)
SOUTHWEST MEDICAL CENTER
555 W 15TH ST, 15TH STREET FAMILY CARE CENTER
LIBERAL, KS 679012467
6206240702
Source: CMS National Downloadable File, September 2026.