| Bloom Gynecology Llc | |
|
450 Hawkins Run Rd Ste 1 Midlothian TX 76065-6670 | |
| (682) 900-1040 | |
| (682) 847-7520 |
| Full Name | Bloom Gynecology Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 450 Hawkins Run Rd Ste 1, Midlothian, Texas |
| Authorized Official Name and Position | Sara Christine Northrop (DOCTOR) |
| Authorized Official Contact | 8175425912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Gynecology Llc 450 Hawkins Run Rd Ste 1 Midlothian TX 76065-6670 Ph: (682) 900-1040 | Bloom Gynecology Llc 450 Hawkins Run Rd Ste 1 Midlothian TX 76065-6670 Ph: (682) 900-1040 |
| NPI Number | 1073129458 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 03/31/2025 |
| Medicare PECOS PAC ID | 6901218437 |
|---|---|
| Medicare Enrollment ID | O20210325000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073129458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
| Provider Name | Sara C Northrop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972731206 PECOS PAC ID: 1355655473 Enrollment ID: I20150804003401 |
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