Graduated: 1987
NPI: 1093748139
Practice Locations (2)
CENTRAL LA STATE HOSPITAL
6250 ESLER FIELD RD
PINEVILLE, LA 71360
3184846200
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.