Individual
ROMEO BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13601 PRESTON ROAD, #1000W, DALLAS, TX 75240
(972) 715-5007
(972) 715-5682
Mailing address
13601 PRESTON ROAD, #1000W, DALLAS, TX 75240
(972) 715-5007
(972) 715-5682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G7781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098626702
—
TX
01
—
8AB552
BCBS
—
01
—
G7781
TSBME LIC
—
Enumeration date
06/30/2006
Last updated
11/13/2012
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