MEDICARE: YOUR AESTHETIC EDGE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1225992019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR AESTHETIC EDGE PLLC

Provider Business Mailing Address
First Line	:	6909 GRAND BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2203
Country	:	US
Telephone Number	:	281-200-0525
Fax Number	:	617-219-3151

Provider Business Practice Location Address
First Line	:	6909 GRAND BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2203
Country	:	US
Telephone Number	:	281-200-0525
Fax Number	:	617-219-3151

Authorized Official
Title or Position	:	PLASTIC SURGEON
Name	:	DR. MIHAIL CLIMOV
Credential	:	MD
Telephone Number	:	281-200-0525

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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