Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1981
NPI: 1740382084
Practice Locations (2)
4104 REYNOSA DR
AUSTIN, TX 787394341
5127500019
4104 REYNOSA DR, SUITE 304
AUSTIN, TX 787394341
Source: CMS National Downloadable File, September 2026.