Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1997
NPI: 1073517975
Practice Locations (1)
HIGHLAND CLINIC, A PROF MED CORP
1455 E BERT KOUN LOOP
SHREVEPORT, LA 711055634
3187984539
Source: CMS National Downloadable File, September 2026.