Graduated: 2022
NPI: 1093453466
Practice Locations (2)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1606 KINGS HWY
SHREVEPORT, LA 711034128
3186756402
CROSS LAKE EMERGENCY GROUP, LLC
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124000
Source: CMS National Downloadable File, September 2026.