Graduated: 2015
NPI: 1407243959
Practice Locations (2)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
MEDHEALTH
221 W COLORADO BLVD, SUITE 425
DALLAS, TX 752082312
2149473231
Source: CMS National Downloadable File, September 2026.