Individual provider Active NPI

Albert Thibeaux, MD

  • Diagnostic Radiology Physician
  • Lewisville, TX
National Provider Identifier
1124014303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F5066 Issued in TX
Practice address
2602 Sir Gawain LN
Lewisville, TX 75056-5718
Phone
(972) 899-2477
Fax
(972) 899-2477
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X F5066 TX Primary

Addresses

Primary practice location

2602 Sir Gawain LN
Lewisville, TX 75056-5718

Mailing address

2602 Sir Gawain LN
Lewisville, TX 75056-5718
Phone (972) 899-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Center Past Accepting new patients
US Radiology Partners of Texas Inc Diagnostic Radiology Past Accepting new patients
Radiology Associates of McAllen,P.a. Past Accepting new patients
Brownwood Hospital LP Diagnostic Radiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124014303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 SIR GAWAIN LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565718",
            "telephone_number": "972-899-2477",
            "fax_number": "972-899-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SIR GAWAIN LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565718",
            "telephone_number": "972-899-2477",
            "fax_number": "972-899-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAUX",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F5066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.