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Organization
RADIANCE MEDSPA OF TEXAS PLLC
Active
Organization
RADIANCE MEDSPA OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA AWAGU DNP (MANAGER)
(210) 804-0772
Entity
Organization
Contact information
Practice address
1624 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
(210) 804-0772
Mailing address
1624 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SW0102X
Women's Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/04/2026
Last updated
08/28/2026
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