Graduated: 2024
NPI: 1902427651
Practice Locations (2)
CENTERWELL SENIOR PRIMARY CARE LA PC
2900 E TEXAS ST, SUITE 100
BOSSIER CITY, LA 711113275
3186066737
NORTH TEXAS PHYSICIAN SERVICES, PLLC
700 E MARSHALL AVE
LONGVIEW, TX 756015580
9033152000
Source: CMS National Downloadable File, September 2026.