Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1992
Offers telehealth
NPI: 1104856012
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1955 COWELL BLVD
DAVIS, CA 956186325
5307574100
Source: CMS National Downloadable File, September 2026.