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General NPI Number Information
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NPI Number | 1699579862
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Entity Type | Organization
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Legal Business Name | RADIANT WELLNESS SOLUTIONS PLLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 12801 N CENTRAL EXPY STE 400
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City | DALLAS
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State | TX
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Zip | 75243-1716
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Country | US
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Telephone | 469-389-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 12801 N CENTRAL EXPY STE 400
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City | DALLAS
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State | TX
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Zip | 75243-1716
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Country | US
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Telephone | 469-389-8959
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Fax | 469-770-7959
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | STEVE HONG
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Credential | MD
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Telephone | 469-389-8959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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