Illuminate Medical Group Pllc

LBN: Illuminate Medical Group Pllc
Illuminate Medical Group Pllc is an health care organization with primary practice located at 1028 Truman Rd , Lantana TX 76226-4395. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Illuminate Medical Group Pllc can be contacted via phone (940) 220-9996, or through Roberson, Matthew B via phone (940) 220-9996.

Contact Information

Primary practice address
1028 Truman Rd Lantana TX 76226-4395
Phone: (940) 220-9996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberson, Matthew B Doctor of Medicine (MD)
Phone: (940) 220-9996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1679036891
LBN Legal business name Illuminate Medical Group Pllc
DBA Doing business as
Authorized official Roberson, Matthew B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2019
Last updated Apr 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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