Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2003
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1457496705
Practice Locations (1)
PACIFIC SPORTS AND INTERVENTIONAL SPINE LLC
2445 BEVERLY ST, SUITE B
SPRINGFIELD, OR 974771910
5417806654
Source: CMS National Downloadable File, September 2026.