specializing in internal medicine in Coushatta, Louisiana

NPI: 1861915415

Provider Type

2

Practice Locations

Mailing Location

PO BOX 53032

SHREVEPORT, LA 71135

📞 3187984606

📠 3187984601

Practice Location

1110 RINGGOLD AVE STE B

COUSHATTA, LA 71019

📞 3187984606

📠 3187984601

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/25/2017
Last Updated:3/17/2018

Credentials

Primary Credential: