| NPI | 1851599690 |
|---|---|
| Doing Business As | LIGHTHOUSE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH DOUGLAS LECROY Owner 817-424-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K2736) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-10-08 |