Provider Demographics
NPI:1568096816
Name:DREAMLUXXE MEDSPA & WELLNESS LLC
Entity Type:Organization
Organization Name:DREAMLUXXE MEDSPA & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINWEM
Authorized Official - Middle Name:
Authorized Official - Last Name:NWONUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:972-639-3464
Mailing Address - Street 1:7205 WIND ELM CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3877
Mailing Address - Country:US
Mailing Address - Phone:972-639-3464
Mailing Address - Fax:817-400-1107
Practice Address - Street 1:5103 MAGNA CARTA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-5234
Practice Address - Country:US
Practice Address - Phone:972-639-3464
Practice Address - Fax:469-340-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty