Graduated: 2004
NPI: 1972768216
Practice Locations (3)
FILE, SUITE 50978
LOS ANGELES, CA 900740001
200 W MARTIN LUTHER KING BLVD, SUITE 1068
CHATTANOOGA, TN 374022560
4055 VALLEY VIEW LN, SUITE 700
DALLAS, TX 752444910
Source: CMS National Downloadable File, September 2026.