Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1942365069
Practice Locations (2)
2600 W MARTIN LUTHER KING BLVD, SUITE 1000
CHATANOOGA, TN 37402
PO BOX, SUITE 840532
DALLAS, TX 752840532
Source: CMS National Downloadable File, September 2026.