| Mr Louis Irvin Ambeaux Jr, PA | |
|
604 S Washington Ave, Livingston, TX 77351-3451 | |
| (936) 328-8944 | |
| Not Available |
| Full Name | Mr Louis Irvin Ambeaux Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 604 S Washington Ave, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124220306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA01279 (Texas) | Primary |
| Entity Name | Discovery Medical Network Matagorda Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053672535 PECOS PAC ID: 4082862487 Enrollment ID: O20120910000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Louis Irvin Ambeaux Jr, PA Po Box 2074, Livingston, TX 77351-0040 Ph: (936) 328-8944 | Mr Louis Irvin Ambeaux Jr, PA 604 S Washington Ave, Livingston, TX 77351-3451 Ph: (936) 328-8944 |
Mrs. Susan R Manuel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Hwy 59 S. Loop, Livingston, TX 77351 Phone: 281-659-2355 Fax: 281-592-1570 | |
Ms. Jennifer R Livingston, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Hwy 59 S. Loop, Livingston, TX 77351 Phone: 281-659-2355 Fax: 281-592-1570 | |
Lauren De'an Conner, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 W Park Ste 106, Livingston, TX 77351 Phone: 936-262-7161 Fax: 936-262-7152 | |
Jean R Bybee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 W Park Ste 104, Livingston, TX 77351 Phone: 936-328-5820 Fax: 936-328-5824 | |
Mr. Earl E Clark, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1717 Highway 59 Loop N, Livingston, TX 77351 Phone: 936-329-8500 |