Organization
NOVABLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENA PATEL O.D. (MANAGER)
(972) 983-5585
Entity
Organization
Contact information
Practice address
807 CAMERON CT, COPPELL, TX 75019-4751
(972) 983-5585
Mailing address
807 CAMERON CT, COPPELL, TX 75019-4751
(972) 983-5585
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/21/2024
Last updated
10/23/2024
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