Graduated: 1981
NPI: 1962467753
Practice Locations (2)
UNIVERSITY OF THE INCARNATE WORD
9725 DATAPOINT DR
SAN ANTONIO, TX 782292384
2102836800
UNIVERSITY OF THE INCARNATE WORD
9725 DATAPOINT DR, BOX 69
SAN ANTONIO, TX 782292384
Source: CMS National Downloadable File, September 2026.