Graduated: 2018
NPI: 1487117271
Practice Locations (3)
PROVIDENCE HEALTH ALLIANCE
2100 LAKE SHORE DR
WACO, TX 767081271
2545376160
PROVIDENCE HEALTH ALLIANCE
2100 LAKE SHORE DR, SUITE 200
WACO, TX 767081271
2545376158
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
Source: CMS National Downloadable File, September 2026.