Healthcare Provider Details

I. General information

NPI: 1326924259
Provider Name (Legal Business Name): SPINELUX HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E ROYAL LN STE 125
IRVING TX
75039-4215
US

IV. Provider business mailing address

100 E ROYAL LN STE 125
IRVING TX
75039-4215
US

V. Phone/Fax

Practice location:
  • Phone: 214-920-9111
  • Fax:
Mailing address:
  • Phone: 214-920-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: AX PEREZ
Title or Position: CEO
Credential:
Phone: 210-920-9111