Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1487074084
Practice Locations (1)
OLIVER STREET 5.01(A) INC
300 RICHLAND W CIR, 2C U.S. DERMATOLOGY PARTNERS
WACO, TX 767127935
2543406000
Source: CMS National Downloadable File, September 2026.