Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2010
NPI: 1114244613
Practice Locations (2)
CH MSSP SERVICES LA LLC
2614 JEFFERSON HWY
NEW ORLEANS, LA 701213828
3379919276
2210 LINE AVE, SUITE 104
SHREVEPORT, LA 711042100
3184259003
Source: CMS National Downloadable File, September 2026.