Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1996
NPI: 1093773541
Practice Locations (2)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
2325 SMILEY LN
COLUMBIA, MO 652021947
5738848980
THE CURATORS OF THE UNIVERSITY OF MISSOURI
404 N KEENE ST
COLUMBIA, MO 652016626
5738759000
Source: CMS National Downloadable File, September 2026.