Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1997
NPI: 1982680518
Practice Locations (2)
ST CHARLES HEALTH SYSTEM INC
2200 NE NEFF RD
BEND, OR 977014283
5413824321
BSA PHYSICIANS GROUP INC
1000 S COULTER ST, SUITE 100
AMARILLO, TX 791061781
8062124701
Source: CMS National Downloadable File, September 2026.