Graduated: 2004
NPI: 1922416122
Practice Locations (2)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
RED RIVER CONSULTANTS INC
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124550
Source: CMS National Downloadable File, September 2026.