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RADIANT MEDSPA, PLLC
NPI 1639915291
Surgery in Flower Mound, TX

Active since July 03, 2024
2701 CROSS TIMBERS RD STE 224, FLOWER MOUND, TX 75028(214) 222-5823 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radiant Medspa, Pllc NPPES

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

RADIANT MEDSPA, PLLC (NPI 1639915291) is a healthcare organization registered as a surgery in Flower Mound, Texas and active in the NPI registry since July 2024. The organization lists Kevin Douglas Fradkin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639915291
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameRADIANT MEDSPA, PLLC
Location Address2701 CROSS TIMBERS RD STE 224Flower Mound, TX 75028-2779
Mailing Address2140 E Southlake Blvd Ste L-229Southlake, TX 76092-6516
Phone(214) 222-5823
Organization SubpartNo
Authorized OfficialKevin Douglas FradkinManaging Member · (214) 222-5823
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1639915291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2701 CROSS TIMBERS RD STE 224, Flower Mound, TX 75028
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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

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

DIANA R MIRANDA NP-C
Nurse Practitioner
2701 CROSS TIMBERS RD STE 224
FLOWER MOUND, TX 75028
Denton County (857) 499-0379

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 Radiant Medspa, PLLC's NPI number?

The NPI number for Radiant Medspa, PLLC is 1639915291. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Radiant Medspa, PLLC located?

Radiant Medspa, PLLC is located at 2701 Cross Timbers Rd Ste 224, Flower Mound, TX 75028. The listed phone number is (214) 222-5823.

What is Radiant Medspa, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Radiant Medspa, PLLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.