Organization
YOUTHFUL ESSENCE MEDICAL SKIN AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S GOMEZ M.D. P.A. (OWNER)
(281) 693-7546
Entity
Organization
Contact information
Practice address
414 W GRAND PKWY S, STE 115, KATY, TX 77494-8351
(281) 693-7546
Mailing address
414 W GRAND PKWY S, STE 115, KATY, TX 77494-8351
(281) 693-7546
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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