Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1985
NPI: 1497775696
Practice Locations (3)
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
1202 S TYLER ST, ATTENTION MANAGED CARE DEPARTMEN
COVINGTON, LA 704332330
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
17240 HEARTBEAT CIR
COVINGTON, LA 704355757
9858984001
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
1520 HWY 22 W
MADISONVILLE, LA 704479441
9857731600
Source: CMS National Downloadable File, September 2026.