Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1982
NPI: 1164422481
Practice Locations (2)
17110 DALLAS PKWY, SUITE 100
Dallas, TX 752481167
17110 DALLAS PKWY, SUITE 100
DALLAS, TX 752481167
9723807090
Source: CMS National Downloadable File, September 2026.