Provider Demographics
NPI:1902959455
Name:LIGHTHOUSE SYSTEMS, LLC
Entity Type:Organization
Organization Name:LIGHTHOUSE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-7016
Mailing Address - Street 1:RR 27 BOX 133F
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8695
Mailing Address - Country:US
Mailing Address - Phone:956-631-7016
Mailing Address - Fax:
Practice Address - Street 1:3820 S JACKSON RD UNIT A
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9525
Practice Address - Country:US
Practice Address - Phone:956-631-7016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPP175207PE0004X
333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333300000XSuppliersEmergency Response System Companies
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty