Graduated: 1997
NPI: 1285945097
Practice Locations (2)
WELLMED MEDICAL GROUP PA
4101 S STAPLES ST
CORPUS CHRISTI, TX 784115501
3618838001
WELLMED MEDICAL GROUP PA
6157 NW LOOP 410, 124 WELLMED AT INGRAM PARK
SAN ANTONIO, TX 782383302
2105231411
Source: CMS National Downloadable File, September 2026.