Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 1976
NPI: 1003972829
Practice Locations (1)
BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
6800 PARK TEN BLVD
SAN ANTONIO, TX 782134293
2102611000
Source: CMS National Downloadable File, September 2026.