Graduated: 2000
NPI: 1063010148
Practice Locations (2)
THERATEAM OUTPATIENT SERVICES, LLC
4615 HWY 80, SUITE 9
HAUGHTON, LA 710377480
3186153003
THERATEAM OUTPATIENT SERVICES, LLC
6723 PINES RD, SUITE 112
SHREVEPORT, LA 711292590
3185623944
Source: CMS National Downloadable File, September 2026.