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Organization

IN BLOOM HEALTHCARE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYMEE BOUGHTON (ADVANCED PRACTICE MIDWIFE)
(281) 389-0810
Entity
Organization

Contact information

Practice address
712 10TH ST, GALVESTON, TX 77550-5116
(409) 768-0005
(281) 892-1090
Mailing address
3704 TRENT COVE LN, PEARLAND, TX 77584-1479
(281) 389-0810
(281) 892-1090

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113162
TX
367A00000X
Advanced Practice Midwife
Primary
119382
TX
367A00000X
Advanced Practice Midwife
99119
TX

Other

Enumeration date
05/27/2017
Last updated
03/17/2018
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