Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1999
NPI: 1093768145
Practice Locations (1)
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST, SUITE 4000
HOUSTON, TX 770542935
7135127500
Source: CMS National Downloadable File, September 2026.