Medical school: UNIV OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY
Graduated: 2014
NPI: 1679983001
Practice Locations (1)
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3601 4TH ST
LUBBOCK, TX 794309410
8067433150
Source: CMS National Downloadable File, September 2026.