LEE SCOTT BLOEMENDAL

FORT WORTH, TX
NPI1790700524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  L8284)
Enumeration Date2006-07-13
Last Update Date2011-10-04
Business Address
LEE SCOTT BLOEMENDAL MD
1325 PENNSYLVANIA AVE SUITE 720
FORT WORTH, TX 76104-2144
Phone number: 817-810-9495
Mailing Address
LEE SCOTT BLOEMENDAL MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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