Robert A Bloom Md

LBN: Robert A Bloom Md Pllc
Robert A Bloom Md is an health care organization with primary practice located at 416 S. Henderson St. , Fort Worth TX 76104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Robert A Bloom Md Pllc can be contacted via phone (817) 338-4636, or through Bloom, Robert A via phone (817) 338-4636.

Contact Information

Primary practice address
416 S. Henderson St. Fort Worth TX 76104
Phone: (817) 338-4636
Fax: (817) 335-5421
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Robert A Doctor of Medicine (MD)
Phone: (817) 338-4636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1023401510
LBN Legal business name Robert A Bloom Md Pllc
DBA Doing business as Robert A Bloom Md
Authorized official Bloom, Robert A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2015
Last updated Mar 31st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023401510 NPPES
Texas MEDICAID 184011801

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