Graduated: 1998
NPI: 1679620058
Practice Locations (5)
PROVIDENCE HEALTH ALLIANCE
729 SUN VALLEY BLVD
HEWITT, TX 766433535
2545376700
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
PROVIDENCE HEALTH ALLIANCE
340 RICHLAND W CIR, ASCENSION MEDICAL GROUP PROVIDENCE
WACO, TX 767127919
2545376050
PROVIDENCE HEALTH ALLIANCE
342 RICHLAND W CIR
WACO, TX 767127919
2545376600
PROVIDENCE HEALTH ALLIANCE
7003 WOODWAY DR
WACO, TX 767126163
Source: CMS National Downloadable File, September 2026.