Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1990
NPI: 1083697593
Practice Locations (2)
631 W 38TH ST
AUSTIN, TX 787051226
5124593177
631 W 38TH ST, SUITE 2
AUSTIN, TX 787051226
Source: CMS National Downloadable File, September 2026.