Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1989
NPI: 1336207216
Practice Locations (2)
ACADIANA AREA HUMAN SERVICES DISTRICT
1822 W 2ND ST
CROWLEY, LA 705264720
3377887511
ACADIANA AREA HUMAN SERVICES DISTRICT
302 DULLES DR
LAFAYETTE, LA 705063008
3372624109
Source: CMS National Downloadable File, September 2026.