Medical school: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated: 1990
NPI: 1740285329
Practice Locations (2)
1954 E HOUSTON ST, RM 202
SAN ANTONIO, TX 782022953
1954 E HOUSTON ST RM, SUITE 202
SAN ANTONIO, TX 782022953
2102255804
Source: CMS National Downloadable File, September 2026.