Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2017
NPI: 1922531276
Practice Locations (1)
PROVIDENCE HEALTH ALLIANCE
601 W STATE HWY 6 105, ASCENSION MEDICAL GROUP PROVIDENCE UROLOGY
WACO, TX 767105592
2547416113
Source: CMS National Downloadable File, September 2026.