Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1985
NPI: 1518933308
Practice Locations (2)
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DR
BRYAN, TX 778022544
9797763777
PROVIDENCE HEALTH ALLIANCE
6901 MEDICAL PKWY
WACO, TX 767127910
2547514000
Source: CMS National Downloadable File, September 2026.