Graduated: 2024
NPI: 1700615663
Practice Locations (2)
COMPLEXCARE MEDICAL GROUP MIDWEST M PLLC
100 KINGSTON RD
SULPHUR, LA 706634016
3376255843
THEORIA MEDICAL
100 KINGSTON RD
SULPHUR, LA 706634016
2486601220
Source: CMS National Downloadable File, September 2026.