Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1991
NPI: 1790769297
Practice Locations (1)
DHHS PHS IHS PHOENIX AREA
401 PICACHO RD
WINTERHAVEN, CA 922839605
7605724137
Source: CMS National Downloadable File, September 2026.