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Organization

LUX FUSION WELLNESS & MEDSPA LLC

Active
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Organization

LUX FUSION WELLNESS & MEDSPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY S WALLACE MD (MEDICAL DIRECTOR)
(469) 278-0657
Entity
Organization

Contact information

Practice address
7617 LAKEVIEW PKWY, ROWLETT, TX 75088-4356
(469) 278-0657
Mailing address
8501 HUNTINGTON DR, ROWLETT, TX 75089-3838
(469) 278-0657

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
01/20/2026
Last updated
08/13/2026
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