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Lighthouse Physician Services, Pllc

Lighthouse Physician Services, Pllc is a health care provider in Montgomery, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 427 Trace Way Dr, Montgomery, TX 77316-6852, US
Practice Location Phone936-463-8777
Practice Location Fax603-658-0484
Legal Business NameLIGHTHOUSE PHYSICIAN SERVICES, PLLC
NPI ?1770866444
Entity TypeOrganization
Enumeration Date ? Sep 20, 2011
Last Update Date ? Sep 20, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lighthouse Physician Services, Pllc

SpecialtySpecializationLicenseLicense State
RadiologyDiagnostic Radiology N9353Texas

official-icon Authorized Official of Lighthouse Physician Services, Pllc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lighthouse Physician Services, Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Lesly Benodin (M.D.)
Authorized Official Title/PositionRADIOLOGIST
Authorized Official Phone Number603-252-7447