Healthcare Provider Details
I. General information
NPI: 1134431232
Provider Name (Legal Business Name): JOSEPH BAYLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2010
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9230 KATY FWY STE 600
HOUSTON TX
77055-7468
US
IV. Provider business mailing address
9230 KATY FWY STE 600
HOUSTON TX
77055-7468
US
V. Phone/Fax
- Phone: 346-227-8278
- Fax: 832-218-5658
- Phone: 346-227-8278
- Fax: 832-218-5658
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | P7389 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0122X |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| License Number | P7389 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: