Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1974
NPI: 1720050347
Practice Locations (1)
BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
1123 N MAIN AVE, SUITE 203
SAN ANTONIO, TX 782124738
2102613100
Source: CMS National Downloadable File, September 2026.