Organization
LECROY FAMILY MEDICINE PA
Active
Other names
Lighthouse Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH DOUGLAS LECROY MD (OWNER)
(817) 482-9422
Entity
Organization
Contact information
Practice address
6424 COLLEYVILLE BLVD STE 104, COLLEYVILLE, TX 76034-6470
(817) 482-9422
(877) 738-7691
Mailing address
6424 COLLEYVILLE BLVD STE 104, COLLEYVILLE, TX 76034-6470
(817) 482-9422
(877) 738-7691
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K2736
TX
Other
Enumeration date
07/03/2007
Last updated
03/21/2025
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