Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1993
NPI: 1174590848
Practice Locations (1)
WK SHREVEPORT INTERNAL MEDICINE
1811 E BERT KOUN LOOP, SUITE 120
SHREVEPORT, LA 711055741
3182123738
Source: CMS National Downloadable File, September 2026.