Graduated: 1995
NPI: 1639628373
Practice Locations (5)
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
PROVIDENCE HEALTH ALLIANCE
601 W HWY 6, SUITE 106
WACO, TX 767105592
2547767744
PROVIDENCE HEALTH ALLIANCE
601 W HWY 6 109, FISH POND SURGERY CENTER
WACO, TX 767105592
2547519836
PROVIDENCE HEALTH ALLIANCE
601 W STATE HWY 6 101, WACO CENTER FOR WOMENS HEALTH
WACO, TX 767105592
2547725454
PROVIDENCE HEALTH ALLIANCE
601 W STATE HWY 6 105, ASCENSION MEDICAL GROUP PROVIDENCE UROLOGY
WACO, TX 767105592
2547416113
Source: CMS National Downloadable File, September 2026.