LIGHTHOUSE PHYSICIAN SERVICES PLLC NPI 1770866444

NPI Information

NPI: 1770866444
Provider Name: LIGHTHOUSE PHYSICIAN SERVICES, PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
427 TRACE WAY DR
MONTGOMERY, TX
ZIP 77316
Phone: (936) 463-8777
Get Directions

LIGHTHOUSE PHYSICIAN SERVICES, PLLC is a diagnostic radiology radiology in Montgomery, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LIGHTHOUSE PHYSICIAN SERVICES, PLLC NPI is 1770866444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

427 TRACE WAY DR
MONTGOMERY, TX
ZIP 77316-852
Phone: (936) 463-8777
Fax: (603) 658-0484

The provider's authorized official is Lesly Benodin .
The authorized official title is Radiologist and has the following contact phone number (603) 252-7447.

The enumeration date for this NPI number is 9/20/2011 and was last updated on 9/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	N9353	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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