Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1980
NPI: 1205066768
Practice Locations (1)
SYNERGY CARE SOUTHEAST LLC
127 W BROAD ST, SUITE 850 SYNERGY CARE SOUTHEAST LLC LOUIS
LAKE CHARLES, LA 706014392
3373108500
Source: CMS National Downloadable File, September 2026.