| Organization Name: | YOUTHFUL ESSENCE MEDICAL SKIN AND |
| NPI Number: | 1750568010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL S GOMEZ (OWNER) |
| Mailing Address: | 414 W Grand Pkwy S Ste 115 Katy |
| State: | TX US |
| Postal Code: | 774948351 |
| Phone Number: | 2816937546 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |