ISLAND GLO AESTHETICS & PRIMARY CARE PLLC
NPI 1275258295
Nurse Practitioner - Family in Houston, TX
About Island Glo Aesthetics & Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND GLO AESTHETICS & PRIMARY CARE PLLC (NPI 1275258295) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Trevor Carlton Mckenzie, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2310008
Island Glo Aesthetics & Primary Care PLLC · Houston, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77056
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Island Glo Aesthetics & Primary Care PLLC's NPI number?
The NPI number for Island Glo Aesthetics & Primary Care PLLC is 1275258295. It was assigned to this organization in the NPPES registry on October 12, 2022.
Where is Island Glo Aesthetics & Primary Care PLLC located?
Island Glo Aesthetics & Primary Care PLLC is located at 5373 W Alabama St Ste 204, Houston, TX 77056. The listed phone number is (954) 857-8671.
What is Island Glo Aesthetics & Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Island Glo Aesthetics & Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2310008) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Island Glo Aesthetics & Primary Care PLLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
