Luminous Med Spa Pllc

NPI #1821834342 in Plano, Texas

Provider Information

NPI Number: 1821834342
Entity Type: Organization
Organization Name: Luminous Med Spa Pllc
Primary Specialty: Surgery
Enumeration Date: Jul 3, 2024
Last Updated: Jul 3, 2024

Practice Location

Address: 2412 PRESTON RD STE 160
City: Plano
State: Texas
ZIP Code: 75093-2304
Phone: (214) 676-1250

Authorized Official

Name: KEVIN DOUGLAS FRADKIN, MD
Title: MANAGING MEMBER
Phone: (214) 676-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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