| Novabloom Llc | |
|
807 Cameron Ct Coppell TX 75019-4751 | |
| (972) 983-5585 | |
| Not Available |
| Full Name | Novabloom Llc |
|---|---|
| Speciality | Case Management |
| Location | 807 Cameron Ct, Coppell, Texas |
| Authorized Official Name and Position | Reena Patel (MANAGER) |
| Authorized Official Contact | 9729835585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novabloom Llc 807 Cameron Ct Coppell TX 75019-4751 Ph: (972) 983-5585 | Novabloom Llc 807 Cameron Ct Coppell TX 75019-4751 Ph: (972) 983-5585 |
| NPI Number | 1558182733 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558182733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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