Individual
KEITH D BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7701 LAS COLINAS RDG STE 460, IRVING, TX 75063-8081
(866) 367-8768
(817) 541-9301
Mailing address
5001 S COOPER ST STE 201, ARLINGTON, TX 76017-5993
(866) 367-8768
(817) 541-9555
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P1967
TX
Other
Enumeration date
01/09/2006
Last updated
12/17/2024
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