Organization
LIGHTHOUSE MEDICAL SERVICES PLLC
Active
Organization
LIGHTHOUSE MEDICAL SERVICES PLLC
Active
Other names
and Hyperbaric Medicine Center of Grapevi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DOUGLAS LECROY MD (OWNER)
(972) 672-1269
Entity
Organization
Contact information
Practice address
3901 POPPLEWELL ST STE B, RICHLAND HILLS, TX 76118-5103
(972) 672-1269
Mailing address
3901 POPPLEWELL ST STE B, RICHLAND HILLS, TX 76118-5103
(972) 672-1269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K2736
TX
Other
Enumeration date
12/17/2015
Last updated
02/25/2022
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