LEE CHARLES BLOEMENDAL

FORT WORTH, TX
NPI1952326787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  D5919)
Enumeration Date2006-07-13
Last Update Date2011-10-04
Business Address
-- LEE CHARLES BLOEMENDAL MD
1325 PENNSYLVANIA AVE SUITE 720
FORT WORTH, TX 76104-2144
Phone number: 817-336-7305
Mailing Address
-- LEE CHARLES BLOEMENDAL MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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