Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1976
Offers telehealth
NPI: 1376560953
Practice Locations (2)
CENTRAL LA HUMAN SERVICES DISTRICT
5411 COLISEUM BLVD
ALEXANDRIA, LA 713033729
3184846850
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.