Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1986
NPI: 1861547283
Practice Locations (2)
6206 OLD FRANCONIA RD
ALEXANDRIA, VA 223102529
7039224601
KINGSTOWNE FAMILY PRACTICE, 6206 OLD FRANCONIA ROAD
ALEXANDRIA, VA 223102529
Source: CMS National Downloadable File, September 2026.