| NPI | 1669417317 |
|---|---|
| Doing Business As | ULISES BALTAZAR, MD |
| Entity Type | Organization |
| Authorized Contact | TODD EVANS VP 713-647-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-08-30 |