Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1996
NPI: 1588691695
Practice Locations (1)
ORTHOANESTHESIA PC
2808 S 143RD PLZ, NEBRASKA ORTHOPAEDIC HOSPITAL LLC
OMAHA, NE 681445611
4026370600
Source: CMS National Downloadable File, September 2026.