NPIMap

Organization Active NPI

Youthful Essence Medical

  • Clinic/Center
  • Katy, TX
National Provider Identifier
1952585481
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YOUTHFUL ESSENCE MEDICAL
Practice address
414 W Grand Pkwy S Ste 115
Katy, TX 77494-8351
Phone
(281) 693-7546
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mr. Michael Saenz Gomez, M.D.
Title
Medical Director
Phone
(281) 693-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

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

Mailing address

809 Escandon Ave
Rancho Viejo, TX 78575-9722
Phone (956) 592-1894

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1952585481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ESCANDON AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759722",
            "telephone_number": "956-592-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W GRAND PKWY S STE 115",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948351",
            "telephone_number": "281-693-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL ESSENCE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SAENZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-693-7546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Dec 19, 2007; 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.