Organization
IBLOOM WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOLOGUS OBI (AUTHORIZED OFFICIAL)
(972) 375-1634
Entity
Organization
Contact information
Practice address
3838 OAK LAWN AVE STE 1000, DALLAS, TX 75219-4511
(682) 553-7827
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(682) 553-7827
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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