Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1985
Also: ORAL SURGERY
NPI: 1063480077
Practice Locations (2)
4499 MEDICAL DR, SUITE 190
SAN ANTONIO, TX 782293735
4499 MEDICAL DR, SUITE 190
SAN ANTONIO, TX 782293857
Source: CMS National Downloadable File, September 2026.