Graduated: 1998
NPI: 1922145093
Practice Locations (4)
1605 GEORGE DIETER DR, SUITE 536
EL PASO, TX 799365600
1605 GEORGE DIETER DR, SUITE 536
EL PASO, TX 799365688
3164 ROYAL CREST ST
EL PASO, TX 799360626
9154333473
17503 LA CANTERA PKWY, SUITE 104
SAN ANTONIO, TX 782574000
Source: CMS National Downloadable File, September 2026.