Organization Active NPI

Rejuvenus Aesthetics

  • Plastic Surgery Physician
  • Conroe, TX
National Provider Identifier
1710151642
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M8612 Issued in TX
Legal business name
REJUVENUS AESTHETICS
Practice address
600 River Pointe Dr Ste 200
Conroe, TX 77304-2868
Phone
(936) 760-2696
Fax
(936) 756-2662
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wilberto Cortes, M.D.NPI 1174695514
Title
President
Phone
(414) 350-5397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X M8612 TX Primary

Addresses

Primary practice location

600 River Pointe Dr Ste 200
Conroe, TX 77304-2868

Mailing address

600 River Pointe Dr Ste 200
Conroe, TX 77304-2868
Phone (936) 760-2696

National Provider Directory

National Provider Directory

Locations

2105 W Davis St
Ste B
Conroe, TX 77304
Phone (936) 760-2696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1710151642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIVER POINTE DR STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042868",
            "telephone_number": "936-760-2696",
            "fax_number": "936-756-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIVER POINTE DR STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042868",
            "telephone_number": "936-760-2696",
            "fax_number": "936-756-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENUS AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "WILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-350-5397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M8612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.