Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2001
Offers telehealth
NPI: 1063440105
Practice Locations (1)
NORTHWEST LOUSIANA HUMAN SERVICES DISTRICT
1310 N HEARNE AVE
SHREVEPORT, LA 711076516
3186765111
Source: CMS National Downloadable File, September 2026.