Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2002
Offers telehealth
NPI: 1639162167
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
14530 NW MILITARY HWY
SHAVANO PARK, TX 782311622
2104506621
Source: CMS National Downloadable File, September 2026.