Graduated: 2006
NPI: 1992841878
Practice Locations (3)
10201 GATEWAY BLVD W, SUITE 210
EL PASO, TX 799257647
125 THUNDERBIRD DR, SUITE J
EL PASO, TX 799124541
125 THUNDERBIRD DR, SUITE J
EL PASO, TX 799124563
9154228399
Source: CMS National Downloadable File, September 2026.