Provider Demographics
NPI:1811361470
Name:LMG HEALTHCARE PLLC
Entity Type:Organization
Organization Name:LMG HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-729-2206
Mailing Address - Street 1:1721 CIMARRON TRL
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3400
Mailing Address - Country:US
Mailing Address - Phone:817-267-0550
Mailing Address - Fax:
Practice Address - Street 1:1721 CIMARRON TRL
Practice Address - Street 2:SUITE 5
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3400
Practice Address - Country:US
Practice Address - Phone:817-267-0550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty