Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2003
NPI: 1649294398
Practice Locations (1)
OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES
703 E PRUDHOMME ST, SUITE 1
OPELOUSAS, LA 705706313
3375943446
Source: CMS National Downloadable File, September 2026.