Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1985
NPI: 1972565554
Practice Locations (1)
LOS ALAMOS MEDICAL CARE CLINIC LTD
3917 W RD, SUITE 150
LOS ALAMOS, NM 875445303
5056624351
Source: CMS National Downloadable File, September 2026.