Healthcare Provider Details

I. General information

NPI: 1225992019
Provider Name (Legal Business Name): YOUR AESTHETIC EDGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 GRAND BLVD
HOUSTON TX
77054-2203
US

IV. Provider business mailing address

6909 GRAND BLVD
HOUSTON TX
77054-2203
US

V. Phone/Fax

Practice location:
  • Phone: 281-200-0525
  • Fax: 617-219-3151
Mailing address:
  • Phone: 281-200-0525
  • Fax: 617-219-3151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MIHAIL CLIMOV
Title or Position: PLASTIC SURGEON
Credential: MD
Phone: 281-200-0525