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Organization

TEXAS CHRONIC CARE CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER A BLOOM MD (OWNER)
(214) 206-1445
Entity
Organization

Contact information

Practice address
7500 STONEBROOK PKWY, SUITE 100, FRISCO, TX 75034-5377
(972) 914-4310
Mailing address
7500 STONEBROOK PKWY, SUITE 100, FRISCO, TX 75034-5377
(972) 914-4310

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TX
363L00000X
Nurse Practitioner
TX

Other

Enumeration date
08/20/2015
Last updated
08/21/2015
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