Graduated: 2021
NPI: 1215680038
Practice Locations (2)
NORTH OAKS MEDICAL CENTER LLC
15790 PAUL VEGA MD DR
HAMMOND, LA 704031434
9852303066
NORTHSHORE REDI-MED LLC
4430 HWY 22
MANDEVILLE, LA 704713310
9856263470
Source: CMS National Downloadable File, September 2026.