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

Radiant Medspa, PLLC

Organization Surgery Physician · NPI 1639915291

Radiant Medspa, PLLC is a Surgery Physician in Flower Mound, Texas. Registered with an NPI since 2024.

In the registry since
2024
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

2701 Cross Timbers Rd Ste 224
Flower Mound, TX 75028-2779
Phone: (214) 222-5823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1639915291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Fradkin — Managing Member · (214) 222-5823
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address2140 E Southlake Blvd Ste L-229, Southlake, TX 76092-6516

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