Organization
TRACE BODY REJUVENATION, SPORTS RECOVERY, PAIN RELIEF, AND AESTHETICS
Active
Other names
Trace Body Rejuvenation
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MILDON (FOUNDER/CEO)
(832) 754-4430
Entity
Organization
Contact information
Practice address
829 FROSTWOOD DR, HOUSTON, TX 77024-4131
(281) 571-3209
Mailing address
829 FROSTWOOD DR, HOUSTON, TX 77024-4131
(281) 571-3209
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
04/22/2026
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