ELIZABETH M BLOOMFIELD

FORT WORTH, TX
NPI1710134408
Former NameELIZABETH M HULSEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA02115)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ME  PA605)
Enumeration Date2008-08-25
Last Update Date2014-12-18
Business Address
-- ELIZABETH M BLOOMFIELD PA
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-2900
Mailing Address
-- ELIZABETH M BLOOMFIELD PA
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-2900