Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2014
NPI: 1306265103
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1501 KINGS HWY
SHREVEPORT, LA 711034228
3186754881
Source: CMS National Downloadable File, September 2026.