Medical school: THE DENTAL SCHOOL AT UNIVERSITY OF TEXAS HSC AT SAN ANTONIO
Graduated: 1993
NPI: 1407876626
Practice Locations (1)
ETMC PHYSICIAN GROUP, INC.
1000 E 5TH ST, SUITE 400
TYLER, TX 757013362
9035963500
Source: CMS National Downloadable File, September 2026.