Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1922089382
Practice Locations (2)
PROVIDENCE HEALTH ALLIANCE
2100 LAKE SHORE DR
WACO, TX 767081271
2545376160
LEGACY HEALTHCARE SERVICES INC
5400 LAUREL LAKE DR
WACO, TX 767102835
2543996633
Source: CMS National Downloadable File, September 2026.