Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1993
NPI: 1982716957
Practice Locations (2)
LEGACY URGENT CARE PA
9205 LEGACY DR
FRISCO, TX 750336750
9726256020
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
1310 PALUXY RD
GRANBURY, TX 760485655
8175732273
Source: CMS National Downloadable File, September 2026.