# YOUTHFUL ESSENCE MEDICAL SKIN AND

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

## Provider details

- **NPI number:** 1750568010
- **Authorized official:** DR. MICHAEL S GOMEZ M.D. P.A. (OWNER)
- **Authorized official phone:** (281) 693-7546

## Contact information

- **Practice address:** 414 W GRAND PKWY S, STE 115, KATY, TX 77494-8351
- **Practice address phone:** (281) 693-7546
- **Mailing address:** 414 W GRAND PKWY S, STE 115, KATY, TX 77494-8351
- **Mailing address phone:** (281) 693-7546

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008