Graduated: 1990
NPI: 1063494458
Practice Locations (2)
WELLMED MEDICAL GROUP PA
4438 CENTERVIEW
SAN ANTONIO, TX 782281440
2102800040
WELLMED MEDICAL GROUP PA
6157 NW LOOP 410, 124 WELLMED AT INGRAM PARK
SAN ANTONIO, TX 782383302
2105231411
Source: CMS National Downloadable File, September 2026.