Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1992
Also: EMERGENCY MEDICINE
NPI: 1720178569
Practice Locations (1)
CENTERWELL SENIOR PRIMARY CARE LA PC
17123 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 707693481
2256050534
Source: CMS National Downloadable File, September 2026.