Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2001
NPI: 1134389166
Practice Locations (1)
PHYSICIANS REFERRAL SERVICE
2130 W HOLCOMBE BLVD, UNIV OF TX M D ANDE LIFE SCIENCES PLAZA
HOUSTON, TX 770304009
7135925433
Source: CMS National Downloadable File, September 2026.