ULISES BALTAZAR (NPI# 1124048954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124048954 |
| Entity Type | Individual |
| Full Name | ULISES BALTAZAR |
| Credential | MD |
| Practice Address |
16605 Southwest Fwy Suite 505 Sugar Land TX 77479-3501 |
| Mailing Address |
Po Box 3567 Houston TX 77253-3567 |
| Practice Telephone | 2812408400 |
| Practice Fax Number | 2812408405 |
| Mailing Telephone | 7137905227 |
| Mailing Fax Number | 7137905505 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
M1016 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178806902 | 05 | |
| TX | BCBS | 8G5887 | 01 |
| Street Address |
16605 SOUTHWEST FWY SUITE 505 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597474 | Mauricio A Reinoso | Internal Medicine | 16605 Southwest Fwy, Suite 310, Sugar Land, TX 77479-3501 | 2005-09-12 |
| 1174059976 | Tasneem Budhwani | Nurse Practitioner | 16605 Southwest Fwy, Sugar Land, TX 77479-3501 | 2017-05-11 |
| 1548709496 | Dr Bushra Cheema | Specialist | 16605 Southwest Fwy, Suite # 530, Sugar Land, TX 77479-3501 | 2017-02-13 |
| 1427406834 | Taofeekat Folashade Ajibade | Nurse Practitioner | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-3501 | 2016-05-25 |
| 1902299316 | Joma Uthup | Nurse Practitioner | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-3501 | 2015-03-09 |
| 1659772267 | Jessica Cuccio | Physician Assistant | 16605 Southwest Fwy, Suite 285, Sugar Land, TX 77479-3501 | 2014-09-15 |
| 1225441470 | Esther Hari Kumar | Nurse Practitioner | 16605 Southwest Fwy, Medical Office Building 3, Suite 150, Sugar Land, TX 77479-3501 | 2014-06-05 |
| 1669891651 | Brittany Chatman | Nurse Practitioner | 16605 Southwest Fwy, Suite 115, Sugar Land, TX 77479-3501 | 2014-04-07 |
| 1881017143 | Daming Tang | Internal Medicine | 16605 Southwest Fwy, Suite 175, Sugar Land, TX 77479-0003 | 2014-01-22 |
| 1265868418 | Johanan Y Hsu | Family Medicine | 16605 Southwest Fwy, Suite 400 Mob3, Sugar Land, TX 77479-3501 | 2013-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265876338 | Tony Lu | Surgery | 16605 Southwest Fwy Ste 560, Sugar Land, TX 77479-3792 | 2013-04-19 |
| 1730160706 | Marvin Douglas Atkins Jr. | Surgery | 16605 Southwest Fwy Ste 410, Sugar Land, TX 77479 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.