Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1982
NPI: 1073571923
Practice Locations (5)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1421 3RD AVE
NEW YORK, NY 100281899
2127445538
LUBBOCK COUNTY HOSPITAL DISTRICT
602 INDIANA AVE
LUBBOCK, TX 794153364
8067758400
NORTH SHORE-LIJ MEDICAL PC
1571 MAIN ST
SOUTHLAKE, TX 760927655
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1571 MAIN ST
SOUTHLAKE, TX 760927655
5162663456
Source: CMS National Downloadable File, September 2026.