Ulises Baltazar
Vascular Surgeon
16605 Southwest Fwy Suite 505
Sugar Land
, Texas 77479-3501
Ulises Baltazar
Vascular Surgeon
16605 Southwest Fwy Suite 505
Sugar Land
, Texas 77479-3501
(713) 790-5505
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Ulises Baltazar
- Po Box 3567
- Houston, TX
- Zip : 77253-3567
- Fax : (713) 790-5505
- Phone : (713) 790-5227
Second Address
- Ulises Baltazar
- 16605 Southwest Fwy Suite 505
- Sugar Land, TX
- Zip : 77479-3501
- Fax : (281) 240-8405
- Phone : (281) 240-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | M1016 | TX |
National Provider Identifier
| NPI | 1124048954 |
|---|---|
| Provider Name | Ulises Baltazar |
| First Address | Houston, TX 77253-3567 |
| Second Address | Sugar Land, TX 77479-3501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 04/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 178806902 | (05) | TX |
| 8G5887 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.