Graduated: 2025
NPI: 1114755469
Practice Locations (2)
NOVUS LOUISIANA MEDICAL PROFESSIONAL CORPORATION
1500 LINE AVE, SUITE 206
SHREVEPORT, LA 711014649
3182133800
UNIVERSITY HEALTH SHREVEPORT, LLC
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186260000
Source: CMS National Downloadable File, September 2026.