Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1996
NPI: 1366527293
Practice Locations (2)
1211 N RAUL LONGORIA C
SAN JUAN, TX 785893714
1211 N RAUL LONGORIA RD, SUITE C
SAN JUAN, TX 785893714
9567824002
Source: CMS National Downloadable File, September 2026.