Graduated: 2007
NPI: 1063694768
Practice Locations (2)
WK TRI-STATE MEDICAL CLINIC
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 711033989
3186212929
WK TRI-STATE MEDICAL CLINIC
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
Source: CMS National Downloadable File, September 2026.