Graduated: 2002
NPI: 1568645380
Practice Locations (3)
309 RED SUN DR, SUITE 1E
CHAPARRAL, NM 880818183
9153351977
6320 EDGEMERE BLVD
EL PASO, TX 799253517
9152043742
6320 EDGEMERE BLVD, SUITE 22
EL PASO, TX 799253517
9152043742
Source: CMS National Downloadable File, September 2026.