Bloom, Steven L
Bloom, Steven L is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Bloom, Steven L can be contacted via phone (214) 645-0624.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 645-0624
Fax: (214) 645-0078
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | H9806 | Texas |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | H9806 | Texas |
Profile Details
NPI number | 1508823071 |
---|---|
LBN Legal business name | Bloom, Steven L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508823071 | NPPES |
Texas | MEDICAID | 138872012 | |
Texas | MEDICAID | 138872011 |
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