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1124048954
ULISES BALTAZAR
SUGAR LAND, TX
NPI
1124048954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: TX M1016)
Enumeration Date
2006-07-21
Last Update Date
2012-12-04
Business Address
-- ULISES BALTAZAR MD
16605 SOUTHWEST FWY SUITE 505
SUGAR LAND, TX 77479-3501
Phone number: 281-240-8400
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Mailing Address
-- ULISES BALTAZAR MD
PO BOX 3567
HOUSTON, TX 77253-3567
Phone number: 713-790-5227
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