Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1407876659
Practice Locations (2)
1569 LEXANN AVE
SAN JOSE, CA 951211795
4085318808
1569 LEXANN AVE, SUITE 204
SAN JOSE, CA 951211795
4085318808
Source: CMS National Downloadable File, September 2026.