Organization
RADIANCE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNELL L EZELL (ADMINISTRATOR)
(936) 207-8870
Entity
Organization
Contact information
Practice address
1106 N STATE HIGHWAY 360, GRAND PRAIRIE, TX 75050-2559
(469) 332-4906
Mailing address
1106 N STATE HIGHWAY 360, GRAND PRAIRIE, TX 75050-2559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/01/2026
Last updated
03/26/2026
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