Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2005
Also: FAMILY PRACTICE
NPI: 1750592440
Practice Locations (2)
BENTON MEDICAL
188 BURT BLVD
BENTON, LA 710064900
3189655017
NORTH CADDO HOSPITAL SERVICE DISTRICT
815 S PINE ST
VIVIAN, LA 710823353
3183753235
Source: CMS National Downloadable File, September 2026.