Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1992
NPI: 1992777320
Practice Locations (2)
4411 MEDICAL DR, SUITE 300
SAN ANTONIO, TX 782293849
8109 FREDERICKSBURG RD
SAN ANTONIO, TX 782293311
Source: CMS National Downloadable File, September 2026.