Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1996
NPI: 1669469961
Practice Locations (1)
WK PELVIC AND RECONSTRUCTIVE SURGERY
8001 YOUREE DR, SUITE 370
SHREVEPORT, LA 711152339
3182128780
Source: CMS National Downloadable File, September 2026.