Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1998
NPI: 1932157542
Practice Locations (2)
PRIVIA MEDICAL GROUP GULF COAST PLLC
7900 FANNIN ST, SUITE 4000
HOUSTON, TX 770542935
7135127500
PRIVIA MEDICAL GROUP GULF COAST PLLC
17510 W GRAND PKWY S
SUGAR LAND, TX 774792649
Source: CMS National Downloadable File, September 2026.