Organization
SJC MEDICAL GROUP LLC
Active
Other names
BLOOM TRADITIONAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAZMINE M COLLINS LAC (PRESIDENT/ PROVIDER)
(512) 893-3376
Entity
Organization
Contact information
Practice address
151 KIRKHAM CIR # B, KYLE, TX 78640-9703
(512) 893-3376
Mailing address
151 KIRKHAM CIR # B, KYLE, TX 78640-9703
(512) 893-3376
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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