Graduated: 2017
NPI: 1124556881
Practice Locations (2)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3601 4TH ST
LUBBOCK, TX 794309410
8067433150
Source: CMS National Downloadable File, September 2026.