Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1996
Offers telehealth
NPI: 1912013665
Practice Locations (1)
EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC
419 WSW 323 LOOP, SUITE 400 IHM
TYLER, TX 757017063
9035958077
Source: CMS National Downloadable File, September 2026.