Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1980
NPI: 1629096128
Practice Locations (1)
PALO PINTO COUNTY HOSPITAL DISTRICT
202 SW 25TH AVE, COMMUNITY CARE CTR
MINERAL WELLS, TX 760678462
9403287507
Source: CMS National Downloadable File, September 2026.