Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1990
NPI: 1720160740
Practice Locations (3)
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
13004 RED ADMIRAL PL
FAIRFAX, VA 220333700
Source: CMS National Downloadable File, September 2026.