Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1992
Offers telehealth
NPI: 1336137850
Practice Locations (1)
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC
355 DANIEL AVE, SUITE 105
SANA MARIA, CA 934546969
8059373368
Source: CMS National Downloadable File, September 2026.