Bloom Physician Housecalls, Pa | |
8000 W Ih 10 Ste 240 San Antonio TX 78230-3868 | |
(720) 923-1250 | |
Not Available |
Full Name | Bloom Physician Housecalls, Pa |
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Speciality | Internal Medicine |
Location | 8000 W Ih 10 Ste 240, San Antonio, Texas |
Authorized Official Name and Position | Debra Kay Moon Wadelton (BILLING AND CREDENTIALING MANAGER) |
Authorized Official Contact | 7209231250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bloom Physician Housecalls, Pa Po Box 5406 Denver CO 80217-5406 Ph: (720) 923-1250 | Bloom Physician Housecalls, Pa 8000 W Ih 10 Ste 240 San Antonio TX 78230-3868 Ph: (720) 923-1250 |
NPI Number | 1912747106 |
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Provider Enumeration Date | 05/28/2024 |
Last Update Date | 05/28/2024 |
Identifier | Type | State | Issuer |
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1912747106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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