Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1991
NPI: 1700813136
Practice Locations (2)
WELLMED MEDICAL GROUP PA
6157 NW LOOP 410, 124 WELLMED AT INGRAM PARK
SAN ANTONIO, TX 782383302
2105231411
WELLMED MEDICAL GROUP PA
780 CLEAR LAKE CITY BLVD
WEBSTER, TX 775985500
2814648988
Source: CMS National Downloadable File, September 2026.