Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1760581805
Practice Locations (1)
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3506 21ST ST, SUITE 610
LUBBOCK, TX 794301234
8067432373
Source: CMS National Downloadable File, September 2026.