Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1983
NPI: 1407957046
Practice Locations (1)
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
75 S UNIVERSITY BLVD, SUITE 6000 A
MOBILE, AL 366083271
2516605787
Source: CMS National Downloadable File, September 2026.