Provider Demographics
NPI:1811729502
Name:AESTHETIC MASTER INFUSIONS LLC
Entity type:Organization
Organization Name:AESTHETIC MASTER INFUSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-244-0845
Mailing Address - Street 1:5610 5TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1914
Mailing Address - Country:US
Mailing Address - Phone:832-963-7605
Mailing Address - Fax:832-747-5215
Practice Address - Street 1:5610 5TH ST FL 2
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1914
Practice Address - Country:US
Practice Address - Phone:832-963-7605
Practice Address - Fax:832-747-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center