Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2000
NPI: 1669540324
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1033 3RD ST
SAN RAFAEL, CA 949013107
4154826800
UTMB FACULTY GROUP PRACTICE
6710 STEWART RD, SUITE 100
GALVESTON, TX 775512216
4097444030
Source: CMS National Downloadable File, September 2026.