NPI age
1 years
Enumerated 2024-07-03
● Active Type 2 · Organization
Luminous Med Spa Pllc
Luminous Med Spa Pllc is 1 of 3028 surgery organizations in Texas.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fradkin
Managing Member
Last NPPES update
2024-07-03
Source: monthly bulk 2026-05
How this organization compares
Across 3028 active surgery providers in Texas.
NPI age
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-07Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2412 Preston Rd Ste 160
Plano, TX 750932304
Mailing address
2140 E Southlake Blvd Ste L-229
Southlake, TX 760926516
Authorized official
Kevin Douglas Fradkin, MD
Managing Member
📞 2146761250
Specialties
-
Surgery PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.