Bloomer, Tyler Lee
Bloomer, Tyler Lee is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste 500 , Fort Worth TX 76104-2810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bloomer, Tyler Lee can be contacted via phone (817) 252-5000.Contact Information
Primary practice address
1300 W Terrell Ave Ste 500
Fort Worth TX 76104-2810
Phone: (817) 252-5000
Fax: (817) 252-5016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52345 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R9719 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | R9719 | Texas |
Profile Details
| NPI number | 1306104765 |
|---|---|
| LBN Legal business name | Bloomer, Tyler Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | Jun 25th, 2019 - about 5 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.
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