Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2017
NPI: 1619408325
Practice Locations (1)
PREMIER PROVIDER HEALTH PA
17450 ST LUKES WAY, SUITE 360
THE WOODLANDS, TX 773848046
2816075784
Source: CMS National Downloadable File, September 2026.