Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1978
NPI: 1144265653
Practice Locations (2)
CENTRAL COUNTIES CENTER FOR MENTAL HEALTH AND MENTAL RETARDATION SRVS
304 S 22ND ST
Temple, TX 765014726
CENTRAL COUNTIES CENTER FOR MENTAL HEALTH AND MENTAL RETARDATION SRVS
304 S 22ND ST
TEMPLE, TX 765014726
2547784841
Source: CMS National Downloadable File, September 2026.