Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1982
NPI: 1871561035
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
3405 EL SALIDO PKWY
CEDAR PARK, TX 786135640
5122702247
2300 LOHMANS SPUR RD, SUITE 106
LAKEWAY, TX 787346241
5122637133
Source: CMS National Downloadable File, September 2026.