Graduated: 2025
NPI: 1417835141
Practice Locations (2)
PROVIDENCE HEALTH ALLIANCE
729 SUN VALLEY BLVD
HEWITT, TX 766433535
2545376700
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
Source: CMS National Downloadable File, September 2026.