Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Staci Bloom, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306179460

Dr. Staci Bloom, PHD is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7777 Forest Ln Ste B-326
Dallas, TX 75230-2505
Phone: (972) 566-8466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1306179460
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 8, 2009
Mailing address7777 Forest Ln, Suite B-326, Dallas, TX 75230-2505

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