Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1989
Also: UNDERSEA AND HYPERBARIC MEDICINE
NPI: 1649344391
Practice Locations (1)
PREMIER PROVIDER HEALTH PA
4316 JAMES CASEY ST, SUITE B 100
AUSTIN, TX 787451142
5124444325
Source: CMS National Downloadable File, September 2026.