Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2012
NPI: 1174878466
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1606 KINGS HWY
SHREVEPORT, LA 711034128
3186756402
Source: CMS National Downloadable File, September 2026.