Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1986
NPI: 1407869183
Practice Locations (2)
LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH
1650 DESIARD ST
MONROE, LA 712017749
3183617370
GUARDIAN HEALTH CLINIC, LLC
111 CHRISTIAN DR
RAYVILLE, LA 712693658
3187284400
Source: CMS National Downloadable File, September 2026.