Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1962554790
Practice Locations (2)
3312 KALISTE SALOOM RD, BLDG 1
LAFAYETTE, LA 705087449
3375340727
3312 KALISTE SALOOM RD BLDG, SUITE 1
LAFAYETTE, LA 705087449
Source: CMS National Downloadable File, September 2026.