Lighthouse Physician Services, Pllc

NPI #1770866444 in Montgomery, Texas

Provider Information

NPI Number
1770866444
Entity Type
Organization
Organization Name
Lighthouse Physician Services, Pllc
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Sep 20, 2011
Last Updated
Sep 20, 2011

Practice Location

Address
427 TRACE WAY DR
State
Texas
ZIP Code
77316-6852
Phone
(936) 463-8777

Authorized Official

Name
DR. LESLY BENODIN, M.D.
Title
RADIOLOGIST
Phone
(603) 252-7447

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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