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.
|Practice Location||427 Trace Way Dr, Montgomery, TX 77316-6852, US|
|Practice Location Phone||936-463-8777|
|Practice Location Fax||603-658-0484|
|Legal Business Name||LIGHTHOUSE PHYSICIAN SERVICES, PLLC|
|Enumeration Date ?||Sep 20, 2011|
|Last Update Date ?||Sep 20, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Radiology||Allopathic & Osteopathic Physicians||Diagnostic Radiology||N9353||Texas|
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/Position||RADIOLOGIST|
|Authorized Official Phone Number||603-252-7447|