Skin Bliss the Laser Spa Clinic & Aesthetics Institute

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SKIN BLISS THE LASER SPA CLINIC & AESTHETICS INSTITUTE

Practice address

14855 Blanco Rd
San Antonio, TX 78216-7732

Phone

(210) 461-0477

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Cortez

Title

Owner

Phone

(210) 461-0477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1821679374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167732",
            "telephone_number": "210-461-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167732",
            "telephone_number": "210-461-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN BLISS THE LASER SPA CLINIC & AESTHETICS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-461-0477"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ski Bold Professional Association
• Stephanie Nicole Skidmore, OD
• Madison Skillett
• Skin and Wigs, Etc.
• Skin Bliss Med Spa
• Skin by Design Dermatology & Laser Center PA
• Skin Cancer Dermatology, PLLC
• Skin Institute
• Skin Surgery of San Antonio, PA
• Tynisha L Skinnell, LPC-A

• General Practice Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.