Organization
ILLUMINATE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW B ROBERSON MD (OWNER / CEO)
(940) 220-9996
Entity
Organization
Contact information
Practice address
1028 TRUMAN RD, LANTANA, TX 76226-4395
(940) 220-9996
Mailing address
1028 TRUMAN RD, LANTANA, TX 76226-4395
(940) 220-9996
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/14/2019
Last updated
02/20/2026
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