Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2000
NPI: 1124016985
Practice Locations (1)
BOSSIER FAMILY MEDICINE, LLC
2539 VIKING DR, SUITE 101
BOSSIER CITY, LA 711112165
3187478100
Source: CMS National Downloadable File, September 2026.