Individual
MR. LOUIS IRVIN AMBEAUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
604 S WASHINGTON AVE, LIVINGSTON, TX 77351-3451
(936) 328-8944
Mailing address
PO BOX 2074, LIVINGSTON, TX 77351-0040
(936) 328-8944
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01279
TX
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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