| Bloom Physician Housecalls Pa | |
|
8000 W Ih 10 Ste 240 San Antonio TX 78230-3868 | |
| (303) 993-1330 | |
| Not Available |
| Full Name | Bloom Physician Housecalls Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8000 W Ih 10 Ste 240, San Antonio, Texas |
| Authorized Official Name and Position | Debra Moon Wadelton (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7209231250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Physician Housecalls Pa Po Box 5486 Denver CO 80217-5486 Ph: (720) 923-1250 | Bloom Physician Housecalls Pa 8000 W Ih 10 Ste 240 San Antonio TX 78230-3868 Ph: (303) 993-1330 |
| NPI Number | 1770322299 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770322299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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