Mr Thadeo Gonzales Trivilegio, ASCPI,CM - Pathology in Madisonville, TX

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Mr Thadeo Gonzales Trivilegio, ASCPI,CM is a Pathology - Clinical Pathology/laboratory Medicine physician based in Madisonville, Texas. Mr Thadeo Gonzales Trivilegio is licensed to practice in Illinois (license number 25560204) and his current practice location is 100 W Cross St, Madisonville, Texas. He can be reached at his office (for appointments etc.) via phone at (936) 349-1574.

NPI number for Mr Thadeo Gonzales Trivilegio is 1033931589 and his current mailing address is 114 E Crescent Dr Apt 1, Madisonville, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033931589.

Contact Information

Mr Thadeo Gonzales Trivilegio, ASCPI,CM
100 W Cross St,
Madisonville, TX 77864-2432
(936) 349-1574
Not Available

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Physician's Profile

Full NameMr Thadeo Gonzales Trivilegio
GenderMale
SpecialityPathology - Clinical Pathology/laboratory Medicine
Location100 W Cross St, Madisonville, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033931589
  • Provider Enumeration Date: 10/28/2024
  • Last Update Date: 05/15/2025

Medical Identifiers

Medical identifiers for Mr Thadeo Gonzales Trivilegio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033931589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 25560204 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thadeo Gonzales Trivilegio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Thadeo Gonzales Trivilegio, ASCPI,CM
114 E Crescent Dr Apt 1,
Madisonville, TX 77864-3076

Ph: (936) 436-3238		Mr Thadeo Gonzales Trivilegio, ASCPI,CM
100 W Cross St,
Madisonville, TX 77864-2432

Ph: (936) 349-1574

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Pathology Doctors in Madisonville, TX


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