Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2013
Offers telehealth
NPI: 1629276985
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
200 E VINE ST, SUITE A
SALISBURY, MD 218045531
4105437162
Source: CMS National Downloadable File, September 2026.