Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2000
NPI: 1992738629
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1641 E 70TH ST, 300 OLHS URGENT CARE SHREVEPORT
SHREVEPORT, LA 711055118
3186260037
Source: CMS National Downloadable File, September 2026.