NPIMap

Organization Active NPI

Youthful Essence Medical Skin and

  • General Practice Physician
  • Katy, TX
National Provider Identifier
1750568010
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YOUTHFUL ESSENCE MEDICAL SKIN AND
Practice address
414 W Grand Pkwy S
Ste 115
Katy, TX 77494-8351
Phone
(281) 693-7546
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Michael S Gomez, M.D. P.A.
Title
Owner
Phone
(281) 693-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

414 W Grand Pkwy S
Ste 115
Katy, TX 77494-8351

Mailing address

414 W Grand Pkwy S
Ste 115
Katy, TX 77494-8351
Phone (281) 693-7546

National Provider Directory

National Provider Directory
Tax ID family
Youthful Essence Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1750568010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W GRAND PKWY S",
            "address_2": "STE 115",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948351",
            "telephone_number": "281-693-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W GRAND PKWY S",
            "address_2": "STE 115",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948351",
            "telephone_number": "281-693-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL ESSENCE MEDICAL SKIN AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-693-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.