Graduated: 2021
NPI: 1558903583
Practice Locations (2)
WELLMED MEDICAL GROUP PA
6157 NW LOOP 410, 124 WELLMED AT INGRAM PARK
SAN ANTONIO, TX 782383302
2105231411
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, P.A.
7959 FREDERICKSBURG RD, SUITE 105
SAN ANTONIO, TX 782293431
7262687439
Source: CMS National Downloadable File, September 2026.