Healthcare Provider Details

I. General information

NPI: 1205367323
Provider Name (Legal Business Name): MIHAIL CLIMOV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5061 FM 2920 RD
SPRING TX
77388-3114
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 281-404-5454
  • Fax:
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 NumberU3188
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: