Gender: M

Race: C

Birth Date: 05/29/1929

Death Date: 08/20/1967

Place of Birth: Quanah, TX

Year Medical License Issued: 1961

Medical School: Univ. Texas Southwestern Medical School, Dallas

Medical School Location: TX

Degree: MD

Graduation Date: 1961

References:

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: