Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1996
NPI: 1467423509
Practice Locations (1)
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC.
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 705086917
3374702000
Source: CMS National Downloadable File, September 2026.