Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1997
NPI: 1538150701
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
4950 ESSEN LN, SUITE 400
BATON ROUGE, LA 708093738
2257651765
Source: CMS National Downloadable File, September 2026.