Graduated: 2021
NPI: 1063181394
Practice Locations (2)
INDEP ANESTHESIA SERVICES OF LA LLC
411 COLEMAN AVE, SUITE 102
BOSSIER CITY, LA 711114415
3185852000
UNIVERSITY HEALTH SHREVEPORT, LLC
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186260000
Source: CMS National Downloadable File, September 2026.