MR. LOUIS IRVIN AMBEAUX JR. (NPI# 1124220306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124220306 |
Entity Type | Individual |
Full Name | MR. LOUIS IRVIN AMBEAUX JR. |
Credential | P.A. |
Practice Address |
604 S Washington Ave Livingston TX 77351-3451 |
Mailing Address |
Po Box 2074 Livingston TX 77351-0040 |
Practice Telephone | 9363288944 |
Mailing Telephone | 9363288944 |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01279 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
604 S WASHINGTON AVE |
City | LIVINGSTON |
State | TX |
Zip Code | 77351-3451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013912245 | Singaraju Katari | Pediatrics | 604 S Washington Ave, Livingston, TX 77351-3451 | 2005-06-15 |
1649218736 | Sr Health Care Pa | Pediatrics | 604 S Washington Ave, Livingston, TX 77351-3451 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
Find all providers in zip 77351 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396726196 | David Evan Mittman | Physician Assistant | 87 N Hillside Ave, Livingston, NJ 07039-1117 | 2005-11-08 |
1457870248 | Nicolette Julson | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2017-09-13 |
1285182766 | Sam Crowning | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-09-14 |
1922458991 | Merlynette Sabalvaro | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2016-06-20 |
1487028312 | Siobhan Conley | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2015-11-16 |
1427438860 | Davya Cummings-newby | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-06-01 |
1841578945 | Dana Deoliveira Debari | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2011-07-25 |
1720382922 | Gerald Mark Henderson | Physician Assistant | 320 Alpenglow Ln, Livingston, MT 59047-8506 | 2011-01-03 |
1790819605 | Jamie Arango | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2007-03-15 |
1407984008 | Garikiparthy Naga Jyothirmayi | Physician Assistant | 22 Old Short Hills Rd, Suite # 201, Livingston, NJ 07039-5604 | 2007-03-02 |
Find all providers in LIVINGSTON |
City | LIVINGSTON |
Zip Code | 77351 |
Please comment or provide details below to improve the information on MR. LOUIS IRVIN AMBEAUX JR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.