Graduated: 2010
NPI: 1396063699
Practice Locations (3)
12412 JUDSON RD
LIVE OAK, TX 782333255
2107577000
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 782125601
2107572200
4502 MEDICAL DR
SAN ANTONIO, TX 782294402
2103584000
Source: CMS National Downloadable File, September 2026.