Organization
ROBERT F. BLOOM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F BLOOM MD (MD)
(903) 227-3974
Entity
Organization
Contact information
Practice address
1211 E 6TH ST STE 150, BONHAM, TX 75418-4072
(903) 583-3376
Mailing address
1211 E 6TH ST STE 150, BONHAM, TX 75418-4072
(903) 583-3376
(903) 640-4524
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098348802
—
TX
Enumeration date
04/07/2021
Last updated
04/07/2021
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