# SKIN BLISS THE LASER SPA CLINIC & AESTHETICS INSTITUTE

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

## Provider details

- **NPI number:** 1821679374
- **Authorized official:** KIMBERLY CORTEZ (OWNER)
- **Authorized official phone:** (210) 461-0477

## Contact information

- **Practice address:** 14855 BLANCO RD, SAN ANTONIO, TX 78216-7732
- **Practice address phone:** (210) 461-0477
- **Mailing address:** 14855 BLANCO RD, SAN ANTONIO, TX 78216-7732
- **Mailing address phone:** (210) 461-0477

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 04/16/2021