Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1989
NPI: 1205988946
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
10350 BANDERA RD, SUITE 140
SAN ANTONIO, TX 782505616
2104506530
Source: CMS National Downloadable File, September 2026.