Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1988
NPI: 1306844147
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
2647 S SAINT ELIZABETH BLVD, SUITE 100
GONZALES, LA 707375019
2256478511
Source: CMS National Downloadable File, September 2026.