Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2009
NPI: 1053548149
Practice Locations (1)
HEALTHTEXAS PROVIDER NETWORK
3409 WORTH ST, 600 BAYLOR SCOTT AND WHITE PLASTIC AND RECONS S
DALLAS, TX 752462042
9728176170
Source: CMS National Downloadable File, September 2026.