Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1982860508
Practice Locations (2)
SHANNON CLINIC
120 E HARRIS AVE
SAN ANGELO, TX 769035904
3257476741
SHANNON CLINIC
3222 NE 103RD ST
SEATTLE, WA 981257821
3257475250
Source: CMS National Downloadable File, September 2026.