Provider Demographics
NPI:1659421329
Name:SAFO & BALTAZAR ANESTHESIA ASSOCIATES, LLP
Entity Type:Organization
Organization Name:SAFO & BALTAZAR ANESTHESIA ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:C
Authorized Official - Last Name:BALTAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-750-0598
Mailing Address - Street 1:3200 BROADWAY BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1573
Mailing Address - Country:US
Mailing Address - Phone:972-840-2804
Mailing Address - Fax:
Practice Address - Street 1:7989 W VIRGINIA DR
Practice Address - Street 2:STE 102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3765
Practice Address - Country:US
Practice Address - Phone:972-296-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty