Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1986
NPI: 1093705089
Practice Locations (1)
PREMIER OB-GYN OF TEXAS LLC
4458 MEDICAL DR, SUITE 405
SAN ANTONIO, TX 782293748
2104404149
Source: CMS National Downloadable File, September 2026.