Provider Demographics
NPI:1538056098
Name:LUX CARE WELLNESS LLC
Entity type:Organization
Organization Name:LUX CARE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASGARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TORIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-238-3492
Mailing Address - Street 1:2258 GUS THOMASSON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3003
Mailing Address - Country:US
Mailing Address - Phone:469-607-0787
Mailing Address - Fax:469-607-0806
Practice Address - Street 1:2258 GUS THOMASSON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-3003
Practice Address - Country:US
Practice Address - Phone:469-607-0787
Practice Address - Fax:469-607-0806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care