Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thadeo Gonzales Trivilegio, ASCPI, CM

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1033931589

Mr. Thadeo Gonzales Trivilegio, ASCPI, CM is a Clinical Pathology/Laboratory Medicine Physician in Madisonville, Texas. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

100 W Cross St
Madisonville, TX 77864-2432
Phone: (936) 349-1574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 25560204 (IL)

Record details

NPI number1033931589
Entity typeIndividual (Type 1)
GenderMale
Credentials ASCPI , CM
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025