Graduated: 2010
NPI: 1790077089
Practice Locations (2)
TANDEM ANESTHESIA LLC
207 JEFFERSON ST
MANSFIELD, LA 710522603
3188724610
WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP
2510 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 711183119
3182125000
Source: CMS National Downloadable File, September 2026.