Ambeaux Professional Mgmt Ser LLC

NPI #1699751180 in Livingston, Texas

Provider Information

NPI Number
1699751180
Entity Type
Organization
Organization Name
Ambeaux Professional Mgmt Ser LLC
Primary Specialty
Family Medicine
Enumeration Date
Dec 16, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
604 S WASHINGTON ST
State
Texas
ZIP Code
77351-2074
Phone
(936) 328-8944

Authorized Official

Name
MR. LOUIS IRVIN AMBEAUX JR., PA
Title
PHYSICIAN ASSISTANT SUPERVISOR
Phone
(936) 328-8944

Specialties & Taxonomy Codes

Specialty
Family Medicine

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