Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1986
NPI: 1982642443
Practice Locations (2)
PO BOX, SUITE 911242
DALLAS, TX 75391
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 100
RICHARDSON, TX 750823542
Source: CMS National Downloadable File, September 2026.