Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1984
NPI: 1457332959
Practice Locations (1)
TEXAS AANDM UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
8441 STATE HWY 47, SUITE 1400
BRYAN, TX 778073208
9797748200
Source: CMS National Downloadable File, September 2026.