Trace Body Rejuvenation, Sports Recovery, Pain Relief, and Aesthetics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRACE BODY REJUVENATION, SPORTS RECOVERY, PAIN RELIEF, AND AESTHETICS

Practice address

829 Frostwood Dr
Houston, TX 77024-4131

Phone

(281) 571-3209

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Laura Mildon

Title

Founder/Ceo

Phone

(832) 754-4430

Specialties & licenses 1

Addresses

Other names 1

• Trace Body Rejuvenation Doing business as

Locations

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1922867720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FROSTWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244131",
            "telephone_number": "281-571-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FROSTWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244131",
            "telephone_number": "281-571-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACE BODY REJUVENATION, SPORTS RECOVERY, PAIN RELIEF, AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MILDON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "832-754-4430"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trace Body Rejuvenation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bao-Michael Xuan Tra, MD
• Peter G Traber, MD
• Tamara Traber, OTR
• Henri Toufic Traboulsi, M.D.
• Adnan Trabulsi, MD
• Trace Pharmacy LLC
• Barry Trachtenberg, MD
• Tracy M. Clark DDS Inc
• Britney Tracy, OTR/L
• Darlene A Tracy, PA-C

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.