Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1988
NPI: 1265413876
Practice Locations (2)
PARKVIEW HEALTH SYSTEM INC
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 468451733
2602668840
UT METHODIST PHYSICIANS LLC
1325 EASTMORELAND AVE
MEMPHIS, TN 381047542
Source: CMS National Downloadable File, September 2026.