Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2024
NPI: 1477312957
Practice Locations (2)
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.