Individual
GARY M BLOOMGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6924 STEFANI DR, DALLAS, TX 75225-1744
(203) 623-3717
Mailing address
6924 STEFANI DR, DALLAS, TX 75225-1744
(203) 623-3717
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
023954
CT
207T00000X
Neurological Surgery Physician
C1-0028216
DE
207T00000X
Neurological Surgery Physician
D0102167
MD
207T00000X
Neurological Surgery Physician
Primary
Q0224
TX
Other
Enumeration date
08/01/2006
Last updated
08/08/2025
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