Mervyn P Bloom O.D.

NPI 1437214707 - Optometrist - 152W00000X

NPI Details
NPI 1437214707
Gender Male
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1939 NE LOOP 410
#200
SAN ANTONIO TX, 78217-5350, US
Phone (210) 822-7239
Fax (210) 822-6398
Business Location
1939 NE LOOP 410
#200
SAN ANTONIO TX, 78217-5350, US
Phone (210) 822-7239
Fax (210) 822-6398
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2564TG
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According to our database, Dr. Mervyn P Bloom O.D. NPI is 1437214707, taxonomy code is 152W00000X and license number is 2564TG, license state is located at Texas. Mervyn P Bloom O.D. physically located at 1939 Ne Loop 410, San Antonio TX, 78217-5350. NPI Number Mervyn P Bloom O.D. has the Individual type.

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1437214707 NPI number is provided on an as is basis without warranty of any kind. 1437214707 is maintained by the National Plan & Provider Enumeration System. The contents of Mervyn P Bloom O.D. are for informational purposes only.