Ulises Baltazar, MD
in Sugar Land, TX. Individual provider (NPI-1).
NPI number1124048954
StatusActive
Last updated in NPPESDec 4, 2012
Details
- NPI
- 1124048954
- Entity type
- Individual (NPI-1)
- Name
- Ulises Baltazar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Dec 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | M1016 | TX | Yes |
Practice location
16605 Southwest FwySuite 505
Sugar Land, TX 77479-3501
Phone 281-240-8400 · Fax 281-240-8405
Mailing address
Po Box 3567Houston, TX 77253-3567
Phone 713-790-5227 · Fax 713-790-5505
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