Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1982
NPI: 1306829916
Practice Locations (2)
9007 ELLERBE RD
SHREVEPORT, LA 711066724
DERMATOLOGY AND SKIN SURGERY APMC
9007 ELLERBE RD
SHREVEPORT, LA 711066724
3182223278
Source: CMS National Downloadable File, September 2026.