Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1977
NPI: 1457350902
Practice Locations (1)
WELLMED MEDICAL GROUP PA
1290 WONDER WORLD DR, 1100 WELLMED AT SAN MARCOS
SAN MARCOS, TX 786667969
5123933325
Source: CMS National Downloadable File, September 2026.