Graduated: 2015
NPI: 1023493160
Practice Locations (2)
SOUTH BOSSIER MEDICAL
5668 BARKSDALE BLVD
BOSSIER CITY, LA 711128738
3183754008
NORTH CADDO HOSPITAL SERVICE DISTRICT
815 S PINE ST
VIVIAN, LA 710823353
3183753235
Source: CMS National Downloadable File, September 2026.