Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2002
NPI: 1508839788
Practice Locations (1)
WK TRI-STATE MEDICAL CLINIC
2551 GREENWOOD RD, SUITE 410
SHREVEPORT, LA 711033989
3186212929
Source: CMS National Downloadable File, September 2026.