Bloom Primary Tx II, PA
Bloom Primary Tx II, PA is an Internal Medicine Physician in Southlake, Texas. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
545 S Nolen Dr Ste 300Southlake, TX 76092-9176
Phone: (303) 993-1330
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1689598377 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Moon Wadelton — Authorized Official · (720) 923-1250 |
| NPI enumerated | August 6, 2026 |
| Last updated in NPPES | August 6, 2026 |
| Certification date | August 6, 2026 |
| Mailing address | 12600 W Colfax Ave Ste 200, Lakewood, CO 80215-3733 |
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