Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1992
NPI: 1952330201
Practice Locations (1)
IBERIA MEDICAL CENTER PHYSICIAN PRACTICE NETWORK
2313 E MAIN ST, SUITE C
NEW IBERIA, LA 705604091
3373641734
Source: CMS National Downloadable File, September 2026.