LIGHTHOUSE PHYSICIAN SERVICES, PLLC
NPI 1770866444
Radiology - Diagnostic Radiology in Montgomery, TX

Active since September 20, 2011
427 TRACE WAY DR, MONTGOMERY, TX 77316(936) 463-8777(603) 658-0484 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lighthouse Physician Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE PHYSICIAN SERVICES, PLLC (NPI 1770866444) is a healthcare organization registered as a diagnostic radiology in Montgomery, Texas and active in the NPI registry since September 2011. The organization lists Lesly Benodin, Radiologist, as its authorized official.

NPPES Registry Identity

NPI1770866444
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLIGHTHOUSE PHYSICIAN SERVICES, PLLC
Location Address427 TRACE WAY DRMontgomery, TX 77316-6852
Mailing Address427 Trace Way DrMontgomery, TX 77316-6852 · (936) 463-8777 · Fax (603) 658-0484
Fax(603) 658-0484
Organization SubpartNo
Authorized OfficialLesly BenodinRadiologist · (603) 252-7447
Enumeration DateSeptember 20, 2011
NPI 1770866444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · N9353
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
427 TRACE WAY DR, Montgomery, TX 77316

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Physician Services, PLLC's NPI number?

The NPI number for Lighthouse Physician Services, PLLC is 1770866444. It was assigned to this organization in the NPPES registry on September 20, 2011.

Where is Lighthouse Physician Services, PLLC located?

Lighthouse Physician Services, PLLC is located at 427 Trace Way Dr, Montgomery, TX 77316. The listed phone number is (936) 463-8777.

What is Lighthouse Physician Services, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lighthouse Physician Services, PLLC was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.