Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1981
NPI: 1609879931
Practice Locations (1)
SHREVEPORT EYE CLINIC A MEDICAL CORP
471 ASHLEY RIDGE BLVD, SUITE 300
SHREVEPORT, LA 711067229
3188614009
Source: CMS National Downloadable File, September 2026.