Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1991
NPI: 1912093709
Practice Locations (2)
SOUTHERN UROLOGY LLC
120 RUE LOUIS XIV
LAFAYETTE, LA 705085739
3376001678
SOUTHERN UROLOGY LLC
1926 S UNION ST
OPELOUSAS, LA 705705725
3375944025
Source: CMS National Downloadable File, September 2026.