Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1977
NPI: 1134111347
Practice Locations (2)
2424 W HOLCOMBE BLVD, SUITE 103
Houston, TX 770301933
2424 W HOLCOMBE BLVD, SUITE 103
HOUSTON, TX 770301933
7134327004
Source: CMS National Downloadable File, September 2026.