NPI age
7 years
Enumerated 2019-04-14
● Active Type 2 · Organization
Illuminate Medical Group Pllc
Illuminate Medical Group Pllc is 1 of 312 family medicine organizations in Texas.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberson
Owner / Ceo
Last NPPES update
2026-02-20
Source: monthly bulk 2026-05
How this organization compares
Across 312 active family medicine providers in Texas.
NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1028 Truman Rd
Lantana, TX 762264395
Mailing address
1028 Truman Rd
Lantana, TX 762264395
Authorized official
Matthew B Roberson, MD
Owner / Ceo
📞 9402209996
Specialties
-
Family Medicine PrimaryThe NUCC recommends this code not be used. Choose a more appropriate code.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.