Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1730101098
Practice Locations (3)
101 B ENERGY PKWY
LAFAYETTE, LA 705083872
101 ENERGY PKWY, SUITE B
LAFAYETTE, LA 705083872
101 ENERGY PKWY B
LAFAYETTE, LA 705083872
3372649363
Source: CMS National Downloadable File, September 2026.