Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1988
NPI: 1760543185
Practice Locations (2)
7476 HIGHLAND RD
Baton Rouge, LA 708086611
7476 HIGHLAND RD
BATON ROUGE, LA 708086611
2257666622
Source: CMS National Downloadable File, September 2026.