# SKIN BLISS MED SPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154551661
- **Authorized official:** MS. KIMBERLY D CORTEZ (BUSINESS OWNER)
- **Authorized official phone:** (210) 461-0477

## Contact information

- **Practice address:** 5460 BABCOCK RD, SAN ANTONIO, TX 78240-3901
- **Practice address phone:** (210) 461-0477
- **Practice address fax:** (210) 680-9440
- **Mailing address:** PO BOX 760652, SAN ANTONIO, TX 78245-0652
- **Mailing address phone:** (210) 461-0477
- **Mailing address fax:** (210) 680-9440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2009
- **Last updated:** 07/17/2009