LIGHTHOUSE PHYSICIAN SERVICES, PLLC
NPI 1770866444
Radiology - Diagnostic Radiology in Montgomery, TX
- Organization
- Radiology
- Diagnostic Radiology
About LIGHTHOUSE PHYSICIAN SERVICES, PLLC
This page provides the complete NPI Profile along with additional information for Lighthouse Physician Services, Pllc, a provider established in Montgomery, Texas operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1770866444 assigned on September 2011. The practitioner's primary taxonomy code is 2085R0202X with license number N9353 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Lesly Benodin M.d. (Radiologist)
- NPI
- 1770866444 Verify this NPI
- Provider Name
- LIGHTHOUSE PHYSICIAN SERVICES, PLLC
- Entity Type
- Organization
- Location Address
- 427 TRACE WAY DR MONTGOMERY, TX 77316
- Location Phone
- (936) 463-8777
- Location Fax
- (603) 658-0484
- Mailing Address
- 427 TRACE WAY DR MONTGOMERY, TX 77316
- Mailing Phone
- (936) 463-8777
- Mailing Fax
- (603) 658-0484
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2011
- Last Update Date
- 09-20-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N9353
- License State
- TX
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770866444, enumerated as an "organization" on September 20, 2011.
The provider is located at 427 TRACE WAY DR MONTGOMERY, TX 77316 and the phone number is (936) 463-8777.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
