Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1988
NPI: 1912980962
Practice Locations (1)
WELLMED MEDICAL GROUP PA
6157 NW LOOP 410, 124 WELLMED AT INGRAM PARK
SAN ANTONIO, TX 782383302
2105231411
Source: CMS National Downloadable File, September 2026.