Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1994
Offers telehealth
NPI: 1427039056
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
5400 LAUREL LAKE DR
WACO, TX 767102835
2543996633
PROVIDENCE HEALTH ALLIANCE
6614 SANGER AVE
WACO, TX 767104253
2545376100
Source: CMS National Downloadable File, September 2026.