Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUX FUSION WELLNESS & MEDSPA LLC
NPI 1104785591
Clinic/Center - Medical Specialty in Rowlett, TX

Q: What is Lux Fusion Wellness & Medspa LLC's NPI number?

The NPI number for Lux Fusion Wellness & Medspa LLC is 1104785591. It was assigned to this organization in the NPPES registry on January 20, 2026.

Q: What is Lux Fusion Wellness & Medspa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since January 20, 2026

7617 LAKEVIEW PKWY, ROWLETT, TX 75088(469) 278-0657 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Jan 20, 2026 (2 updates tracked since 2026).

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About Lux Fusion Wellness & Medspa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUX FUSION WELLNESS & MEDSPA LLC (NPI 1104785591) is a healthcare organization registered as a medical specialty in Rowlett, Texas and active in the NPI registry since January 2026. The organization lists Jeffrey S Wallace, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104785591

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLUX FUSION WELLNESS & MEDSPA LLC

Location Address7617 LAKEVIEW PKWYRowlett, TX 75088-4356

Mailing Address8501 Huntington DrRowlett, TX 75089-3838 · (469) 278-0657

Phone(469) 278-0657

Organization SubpartNo

Authorized OfficialJeffrey S WallaceMedical Director · (469) 278-0657

Enumeration DateJanuary 20, 2026

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1104785591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

7617 LAKEVIEW PKWY, Rowlett, TX 75088

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WELDON R. JOHNSON JR. D.O.

Family Medicine