Provider Demographics
NPI:1538136775
Name:BAAKLINI, WALID ANTOINE (MD)
Entity Type:Individual
Prefix:DR
First Name:WALID
Middle Name:ANTOINE
Last Name:BAAKLINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:2727 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1669
Practice Address - Country:US
Practice Address - Phone:713-442-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3073207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167059804Medicaid
TX167059803Medicaid
NC290014044OtherDR BAAKLINI RAILROAD NO
NC4397580OtherDR BAAKLINI CIGNA NO
TX167059802Medicaid
NC89128E9Medicaid
NC128E9OtherDR BAAKLINI BCBS NO
NC8525091OtherDR BAAKLINI CIGNA NO
NC4397580OtherDR BAAKLINI CIGNA NO
TX167059802Medicaid
NCH21358Medicare UPIN
TX8G7850YKTXMedicare PIN