Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. AMBROSE CARROLL THIBODEAUX JR., MT
Active Sole ProprietorMedical Technologist · OPELOUSAS, LA
Registration Details
- NPI Number
- 1538342431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2007 (18.358033783476 yrs)
- Last Updated
- Dec 13, 2007
- License
-
CLP.G02111-GEN (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 CHOCTAW DROPELOUSAS, LA, 705706567Browse LA providers · Browse ZIP 70570
- Phone
- 3379346453
- Primary Specialty
-
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.