Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1983
NPI: 1639146335
Practice Locations (2)
18701 N 67TH AVE
GLENDALE, AZ 853087100
6235617102
350 W THOMAS RD
PHOENIX, AZ 850134409
6024063000
Source: CMS National Downloadable File, September 2026.