Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1991
NPI: 1629131941
Practice Locations (2)
631 W 38TH ST
AUSTIN, TX 787051250
631 W 38TH ST, SUITE 5
AUSTIN, TX 787051251
5124533542
Source: CMS National Downloadable File, September 2026.