Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1998
NPI: 1659376143
Practice Locations (3)
8383 MILLICENT WAY
Shreveport, LA 711155207
8383 MILLICENT WAY
SHREVEPORT, LA 711155207
FAMILY PRACTICE ASSOCIATES OF
8383 MILLICENT WAY
SHREVEPORT, LA 711155207
3187976661
Source: CMS National Downloadable File, September 2026.