Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1995
NPI: 1831186709
Practice Locations (2)
2700 VINE ST
El Dorado, AR 717306700
2700 VINE ST
EL DORADO, AR 717306700
8708621144
Source: CMS National Downloadable File, September 2026.