Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Radiance Medspa of Texas PLLC

Organization Adult Medicine Physician · NPI 1568385706

Radiance Medspa of Texas PLLC is an Adult Medicine Physician in San Antonio, Texas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1624 Lockhill Selma Rd
San Antonio, TX 78213-1929
Phone: (210) 804-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Adult Medicine Physician Taxonomy 207QA0505X
Primary Care Nurse Practitioner Taxonomy 363LP2300X
Women's Health Clinical Nurse Specialist Taxonomy 364SW0102X

Record details

NPI number1568385706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nnenna Awagu — Manager · (210) 804-0772
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1624 Lockhill Selma Rd, San Antonio, TX 78213-1929

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