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LUMINOUS MED SPA PLLC
NPI 1821834342
Surgery in Plano, TX

Active since July 03, 2024
2412 PRESTON RD STE 160, PLANO, TX 75093(214) 676-1250 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Luminous Med Spa Pllc NPPES

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

LUMINOUS MED SPA PLLC (NPI 1821834342) is a healthcare organization registered as a surgery in Plano, 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

NPI1821834342
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLUMINOUS MED SPA PLLC
Location Address2412 PRESTON RD STE 160Plano, TX 75093-2304
Mailing Address2140 E Southlake Blvd Ste L-229Southlake, TX 76092-6516 · (214) 676-1250
Phone(214) 676-1250
Organization SubpartNo
Authorized OfficialKevin Douglas FradkinManaging Member · (214) 676-1250
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1821834342 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.
2412 PRESTON RD STE 160, Plano, TX 75093
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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

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 Luminous Med Spa PLLC's NPI number?

The NPI number for Luminous Med Spa PLLC is 1821834342. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Luminous Med Spa PLLC located?

Luminous Med Spa PLLC is located at 2412 Preston Rd Ste 160, Plano, TX 75093. The listed phone number is (214) 676-1250.

What is Luminous Med Spa 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 Luminous Med Spa 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.