Graduated: 1982
NPI: 1881615045
Practice Locations (2)
HEALTH AND HUMAN SERVICES COMMISSION
2203 W 35TH ST, AUSTIN STATE SUPPORTED LIVING CENTER
AUSTIN, TX 787031203
5123746065
IPC HEALTHCARE SERVICES OF TEXAS PLLC
919 E 32ND ST
AUSTIN, TX 787052703
5125444472
Source: CMS National Downloadable File, September 2026.