| Youthful Essence Medical Skin And Laser Pc | |
|
414 West Grand Parkway 115 Katy TX 77494 | |
| (281) 693-7546 | |
| (281) 693-7548 |
| Full Name | Youthful Essence Medical Skin And Laser Pc |
|---|---|
| Speciality | Anesthesiology |
| Location | 414 West Grand Parkway, Katy, Texas |
| Authorized Official Name and Position | Michael S Gomez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2816937546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthful Essence Medical Skin And Laser Pc 414 West Grand Parkway 115 Katy TX 77494 Ph: (281) 693-7546 | Youthful Essence Medical Skin And Laser Pc 414 West Grand Parkway 115 Katy TX 77494 Ph: (281) 693-7546 |
| NPI Number | 1902049091 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902049091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4824 (Texas) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | J4824 (Texas) | Secondary |
| 207L00000X | Anesthesiology | J4824 (Texas) | Primary |
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