Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1979
NPI: 1619970969
Practice Locations (2)
4200 S HULEN ST, SUITE 230
FORT WORTH, TX 761094924
8173152550
5929 LOVELL AVE
FORT WORTH, TX 761075029
8173152550
Source: CMS National Downloadable File, September 2026.