Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1987
Offers telehealth
NPI: 1700889672
Practice Locations (3)
121 CHRISTIAN DR
RAYVILLE, LA 712690749
3187280175
P O BOX, SUITE 749
RAYVILLE, LA 712690749
PO BOX, SUITE 749
RAYVILLE, LA 712690749
Source: CMS National Downloadable File, September 2026.