Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1976
Offers telehealth
NPI: 1447271739
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.