Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1983
NPI: 1861565756
Practice Locations (2)
206 CHAMPAGNE BLVD
BREAUX BRIDGE, LA 705173734
3373323500
1200 HOSPITAL DR, SUITE 2
OPELOUSAS, LA 705706552
3379486366
Source: CMS National Downloadable File, September 2026.