Graduated: 2020
NPI: 1972105815
Practice Locations (3)
CHRISTUS HEALTH NORTHERN LOUISIANA
1453 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 711056800
3186816678
NORTHSTAR ANESTHESIA III PA
3315 S ALAMEDA ST
CORPUS CHRISTI, TX 784111820
2146870001
NORTHSTAR ANESTHESIA III PA
2901 4TH ST
LONGVIEW, TX 756055128
9032323606
Source: CMS National Downloadable File, September 2026.