Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1998
Also: GENERAL SURGERY
NPI: 1417981739
Practice Locations (1)
WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 410
SHREVEPORT, LA 711183157
3182125944
Source: CMS National Downloadable File, September 2026.