Graduated: 2024
NPI: 1053130583
Practice Locations (2)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
MDB BEHAVIORAL HEALTH SERVICES LLC
1911 MISSION, 66 SUITE B
VICKSBURG, MS 391803762
6014562598
Source: CMS National Downloadable File, September 2026.