Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1972
Offers telehealth
NPI: 1891895363
Practice Locations (2)
1100 N E LOOP, 410 SUITE 504
SAN ANTONIO, TX 782091568
1100 NE LOOP, 410 SUITE 504
SAN ANTONIO, TX 782091568
2108288173
Source: CMS National Downloadable File, September 2026.