Graduated: 1994
NPI: 1689869117
Practice Locations (2)
PERMIAN BASIN COMMUNITY CENTERS FOR MENTAL HEALTH AND MENTAL RETARDATI
600 N GRANT AVE
ODESSA, TX 797614503
4323333265
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER ODESSA
701 W 5TH ST
ODESSA, TX 797634206
4323352222
Source: CMS National Downloadable File, September 2026.