Graduated: 2013
NPI: 1710322920
Practice Locations (2)
HEALTH AND HUMAN SERVICES COMMISSION
6711 S NEW BRAUNFELS, 100 SAN ANTONIO STATE HOSPITAL
SAN ANTONIO, TX 782233002
2105328811
BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
6800 PARK TEN BLVD
SAN ANTONIO, TX 782134293
2102611000
Source: CMS National Downloadable File, September 2026.