Graduated: 2023
NPI: 1881473106
Practice Locations (2)
COASTAL URGENT CARE, LLC
1124 S BURNSIDE AVE, SUITE A100
GONZALES, LA 707374279
2256445503
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.