Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1619074564
Practice Locations (2)
BRIDGERCARE
1288 N 14TH AVE, SUITE 201
BOZEMAN, MT 597158535
4065870681
SHANNON CLINIC
220 E HARRIS AVE
SAN ANGELO, TX 769035906
3257471511
Source: CMS National Downloadable File, September 2026.