Lighthouse Medical Services PLLC
Organization Active NPI Clinic/Center · Richland Hills, TX
NPI 1013372036 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1013372036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- K2736 (TX)
- Legal business name
- LIGHTHOUSE MEDICAL SERVICES PLLC
- Practice address
- 3901 Popplewell St Ste B
Richland Hills, TX 76118-5103 - Phone
- (972) 672-1269
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Douglas Lecroy, MD
- Title
- Owner
- Phone
- (972) 672-1269
Practitioners 1
-
Kenneth Douglas Lecroy, M.D.
National Provider Directory
Locations
1643 Lancaster Dr
Ste 202
Grapevine, TX 76051
Phone (817) 251-9080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | K2736 | TX | Yes |
Addresses
Primary practice location
3901 Popplewell St Ste B
Richland Hills, TX 76118-5103
Mailing address
3901 Popplewell St Ste B
Richland Hills, TX 76118-5103
Phone (972) 672-1269
Other names
- and Hyperbaric Medicine Center of Grapevi
Other providers in Richland Hills, TX
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- Penny Ladrew
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- Haley J Lee
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- Sunitha Malla
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- Benjamin Cohen Mayfield
- Kristin Deborah McGuire
All providers in Richland Hills, TX · Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.