Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2007
NPI: 1972700888
Practice Locations (4)
P O BOX PH
CHINLE, AZ 865038000
PO BOX PH
CHINLE, AZ 865038000
PO BOX, SUITE 92200
ALBUQUERQUE, NM 871992200
P O BOX, SUITE 1407
LAGUNA,, NM 870261407
Source: CMS National Downloadable File, September 2026.