RADIANCE MEDSPA OF TEXAS PLLC
NPI 1568385706
Internal Medicine in San Antonio, TX

Active since August 04, 2026
1624 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213(210) 804-0772 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Aug 7, 2026 (2 updates tracked since 2026).

About Radiance Medspa Of Texas Pllc NPPES

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

RADIANCE MEDSPA OF TEXAS PLLC (NPI 1568385706) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since August 2026. The organization lists Nnenna Awagu, Manager, as its authorized official.

NPPES Registry Identity

NPI1568385706
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRADIANCE MEDSPA OF TEXAS PLLC
Location Address1624 LOCKHILL SELMA RDSan Antonio, TX 78213-1929
Mailing Address1624 Lockhill Selma RdSan Antonio, TX 78213-1929
Organization SubpartNo
Authorized OfficialNnenna AwaguManager · (210) 804-0772
Enumeration DateAugust 4, 2026
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1568385706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X
1624 LOCKHILL SELMA RD, San Antonio, TX 78213

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine
1624 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1624 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiance Medspa Of Texas PLLC's NPI number?

The NPI number for Radiance Medspa Of Texas PLLC is 1568385706. It was assigned to this organization in the NPPES registry on August 4, 2026.

Where is Radiance Medspa Of Texas PLLC located?

Radiance Medspa Of Texas PLLC is located at 1624 Lockhill Selma Rd, San Antonio, TX 78213. The listed phone number is (210) 804-0772.

What is Radiance Medspa Of Texas PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Radiance Medspa Of Texas PLLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.