Graduated: 2000
NPI: 1679957005
Practice Locations (4)
6410 FANNIN ST, SUITE 135
HOUSTON, TX 770303003
6414 FANNIN ST, SUITE G125
HOUSTON, TX 770301517
5530 PRIAMUS DR
MISSOURI CITY, TX 774593896
3300 N TRIUMPH BLVD, SUITE 500
LEHI, UT 840436475
Source: CMS National Downloadable File, September 2026.