Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1989
Offers telehealth
NPI: 1518957810
Practice Locations (1)
CENTRAL LA HUMAN SERVICES DISTRICT
5411 COLISEUM BLVD
ALEXANDRIA, LA 713033729
3184846850
Source: CMS National Downloadable File, September 2026.