Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1997
NPI: 1841277639
Practice Locations (3)
PROVIDENCE HEALTH ALLIANCE
301 RICHLAND W CIR, PROVIDENCE INTERNAL MEDICINE CLINIC
WACO, TX 767127932
2545376200
PROVIDENCE HEALTH ALLIANCE
340 RICHLAND W CIR, ASCENSION MEDICAL GROUP PROVIDENCE
WACO, TX 767127919
2545376050
PROVIDENCE HEALTH ALLIANCE
342 RICHLAND W CIR
WACO, TX 767127919
2545376600
Source: CMS National Downloadable File, September 2026.