Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1427088079
Practice Locations (2)
8001 YOUREE DR, SUITE 970
SHREVEPORT, LA 711152302
8001 YOUREE DR, SUITE 970
SHREVEPORT, LA 711152356
3187959100
Source: CMS National Downloadable File, September 2026.