Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2014
NPI: 1558773820
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN
11937 US HWY 271
TYLER, TX 757083154
9038777200
Source: CMS National Downloadable File, September 2026.