Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1982
NPI: 1740357722
Practice Locations (3)
7823 YOUREE DR
Shreveport, LA 711055505
7823 YOUREE DR
SHREVEPORT, LA 711055134
7823 YOUREE DR
SHREVEPORT, LA 711055505
3187986833
Source: CMS National Downloadable File, September 2026.