Graduated: 2019
NPI: 1376181818
Practice Locations (2)
UNIVERSITY HEALTH SHREVEPORT, LLC
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186260000
WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124000
Source: CMS National Downloadable File, September 2026.