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1760473193
MONA B BLOOM
HOUSTON, TX
NPI
1760473193
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Former Name
MONA SUSAN BAUCHSBAUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX H9825)
Enumeration Date
2005-11-03
Last Update Date
2007-12-04
Business Address
-- MONA B BLOOM M.D.
12951 SOUTH FWY
HOUSTON, TX 77047-1923
Phone number: 713-526-5771
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Mailing Address
-- MONA B BLOOM M.D.
PO BOX 4346 DEPT 401
HOUSTON, TX 77210-4346
Phone number: 713-331-1850
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