Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1985
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1316931876
Practice Locations (1)
COUNTY OF TARRANT
1101 S MAIN ST
FORT WORTH, TX 761044802
8173214700
Source: CMS National Downloadable File, September 2026.