Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1790893600
Practice Locations (1)
TEXAS AANDM UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
2900 E 29TH ST, SUITE 200
BRYAN, TX 778022623
9797768440
Source: CMS National Downloadable File, September 2026.