| NPI | 1831169705 |
|---|---|
| Other Name | MARTIN L. BLOOM, M.D. |
| Entity Type | Organization |
| Authorized Contact | MARTIN L BLOOM Owner 713-932-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX F8414) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-11-21 |