Graduated: 2006
NPI: 1164713095
Practice Locations (2)
SOUTHERN KIDNEY ASSOCIATES PLLC
1815 E 70TH ST
SHREVEPORT, LA 711055301
3185855555
EAST TEXAS KIDNEY SPECIALISTS,PA
3535 N 4TH ST, SUITE 301
LONGVIEW, TX 756050037
9032349992
Source: CMS National Downloadable File, September 2026.