Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1981
NPI: 1558320903
Practice Locations (1)
HEALTHTEXAS PROVIDER NETWORK
4001 WORTH ST, BAYLOR SCOTT AND WHITE COMMUNITY CARE
DALLAS, TX 752461608
2148281745
Source: CMS National Downloadable File, September 2026.