IndividualActive
Ambrose Thibodeaux, MT
NPI 1538342431 · Medical Technologist · Opelousas, LA
Provider details
- NPI number
- 1538342431
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- License
- CLP.G02111-GEN (LA)
Mailing address
1015 Choctaw Dr
Opelousas, LA 70570-6567
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2007-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.