Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2025
NPI: 1487373890
Practice Locations (3)
PO BOX
DALLAS, TX 75265
6410 FANNIN ST
HOUSTON, TX 770303000
6410 FANNIN ST, G125
HOUSTON, TX 770301511
Source: CMS National Downloadable File, September 2026.