Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1994
NPI: 1104991991
Practice Locations (2)
3430 W WHEATLAND RD, SUITE 421
DALLAS, TX 752373406
2142429890
3332 RICCI LN
IRVING, TX 750626575
Source: CMS National Downloadable File, September 2026.