Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1998
NPI: 1982656898
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
1935 MEDICAL DISTRICT DR, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CE
DALLAS, TX 753907701
2144567000
Source: CMS National Downloadable File, September 2026.