Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1985
NPI: 1134189285
Practice Locations (2)
1211 COOLIDGE BLVD, SUITE 405
LAFAYETTE, LA 705032638
3372337524
1211 COOLIDGE ST, SUITE 405
LAFAYETTE, LA 705032638
Source: CMS National Downloadable File, September 2026.