Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1996
NPI: 1811980675
Practice Locations (1)
9045 ELLERBE RD, SUITE 107
SHREVEPORT, LA 711066799
3184244224
Source: CMS National Downloadable File, September 2026.
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Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1996
NPI: 1811980675
9045 ELLERBE RD, SUITE 107
SHREVEPORT, LA 711066799
3184244224
Source: CMS National Downloadable File, September 2026.