| NPI | 1346395233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A BLOOM Physician Owner 214-206-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5060) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-07-27 |