Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2000
NPI: 1306880778
Practice Locations (3)
1110 KEYSTONE CIR
BOSSIER CITY, LA 711112178
3184697315
1500 LINE AVE
SHREVEPORT, LA 711014639
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.