Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2007
NPI: 1548468119
Practice Locations (3)
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
355 PRAIRIE AVE
PROVIDENCE, RI 029051928
4014440570
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
375 ALLENS AVE
PROVIDENCE, RI 029055010
4014440400
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
40 CANDACE ST
PROVIDENCE, RI 029083747
4014440550
Source: CMS National Downloadable File, September 2026.