Graduated: 1966
NPI: 1477571685
Practice Locations (2)
1501 KINGS HWY
SHREVEPORT, LA 711034228
3186755230
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.