Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1993
NPI: 1619084282
Practice Locations (1)
HEALTH AND HUMAN SERVICES COMMISSION
6711 S NEW BRAUNFELS, 100 SAN ANTONIO STATE HOSPITAL
SAN ANTONIO, TX 782233002
2105328811
Source: CMS National Downloadable File, September 2026.