Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1467471607
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
12005 BEE CAVES RD, V
AUSTIN, TX 787386385
5122250766
PRIVIA MEDICAL GROUP GULF COAST PLLC
4201 MARATHON BLVD, SUITE 300
AUSTIN, TX 787563410
5124586060
Source: CMS National Downloadable File, September 2026.