Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1467338327
Practice Locations (2)
3601 4TH ST
LUBBOCK, TX 794300001
PO BOX, SUITE 27476
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.