Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1992318729
Practice Locations (2)
TAG TREATMENT CENTER LLC
515 N RIDGE RD, SUITE 204 THERAPEUTIC ALLIANCE GROUP
WICHITA, KS 672126389
3164090565
TAG TREATMENT CENTER LLC
8100 E 22ND ST N, BLDG 1500 A
WICHITA, KS 672262315
3164090565
Source: CMS National Downloadable File, September 2026.