Individual
DAVID BALTRUSAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 797-5929
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1018387
MA
2085R0202X
Diagnostic Radiology Physician
Primary
M9208
TX
Other
Enumeration date
06/25/2018
Last updated
05/06/2025
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