Graduated: 1988
NPI: 1821059841
Practice Locations (2)
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
1202 N TRAVIS ST
LIBERTY, TX 775753540
2819150749
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
1353 N TRAVIS ST
LIBERTY, TX 775753549
9363367316
Source: CMS National Downloadable File, September 2026.