Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1992
NPI: 1831188457
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN
11937 US HWY 271
TYLER, TX 757083154
9038777200
Source: CMS National Downloadable File, September 2026.