Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1988
NPI: 1629186812
Practice Locations (1)
WARD 3 4 AND 10 HOSPITAL SERVICE DISTRICT OF PARISH OF UNION
100 MEDICAL PARK DR
BERNICE, LA 712220302
3182859066
Source: CMS National Downloadable File, September 2026.