Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2019
NPI: 1912595265
Practice Locations (2)
PREMIER PROVIDER HEALTH PA
5575 WARREN PKWY, SUITE 206
FRISCO, TX 750344066
4692877089
PREMIER PROVIDER HEALTH PA
5230 OLD JACKSONVILLE HWY, SUITE 105
TYLER, TX 757033766
4305622343
Source: CMS National Downloadable File, September 2026.