Graduated: 1996
Offers telehealth
NPI: 1992856652
Practice Locations (3)
333 DR MICHAEL DEBAKEY DR, SUITE 220
LAKE CHARLES, LA 706015888
3374789331
4102 WEAVER RD
LAKE CHARLES, LA 706054004
4102 WEAVER RD, RUSSELL V RICHARD
LAKE CHARLES, LA 706054004
7123207401
Source: CMS National Downloadable File, September 2026.