OrganizationActive
Radiant Medspa, PLLC
NPI 1639915291 · Surgery Physician · Flower Mound, TX
Radiant Medspa, PLLC is a Surgery Physician organization in Flower Mound, TX (NPI 1639915291).
Provider details
- NPI number
- 1639915291
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Fradkin, Managing Member(214) 222-5823
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2701 Cross Timbers Rd Ste 224
Flower Mound, TX 75028-2779
Phone: (214) 222-5823
Street-level locationGet directions
Mailing address
2140 E Southlake Blvd Ste L-229
Southlake, TX 76092-6516
Registry dates
- Enumerated
- 2024-07-03
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Frequently asked questions
- What is Radiant Medspa, PLLC's NPI number?
- Radiant Medspa, PLLC's National Provider Identifier (NPI) is 1639915291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Medspa, PLLC?
- Radiant Medspa, PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Radiant Medspa, PLLC located?
- Radiant Medspa, PLLC's practice location on file with NPPES is 2701 Cross Timbers Rd Ste 224, Flower Mound, TX 75028-2779.
- What is Radiant Medspa, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Radiant Medspa, PLLC is (214) 222-5823.
- Who is the authorized official for Radiant Medspa, PLLC?
- The authorized official listed on Radiant Medspa, PLLC's NPPES record is Kevin Fradkin, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Medspa, PLLC's NPI active?
- Yes — Radiant Medspa, PLLC's NPI (1639915291) is active in the NPPES registry as of the last update on 2024-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.