Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1981
NPI: 1861598971
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
7922 EWING HALSELL DR, SUITE 170
SAN ANTONIO, TX 782293724
2106145665
PRIVIA MEDICAL GROUP GULF COAST PLLC
17510 W GRAND PKWY S
SUGAR LAND, TX 774792649
Source: CMS National Downloadable File, September 2026.