Organization · Type 2 NPI

Bloom Primary Tx, PLLC

Family Medicine Physician · Southlake, TX

NPI number 1275901340 Active

Practice location

545 S Nolen Dr
Southlake, TX 76092-9176

Call (303) 993-1330 Map

Mailing address

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	P2012 (TX)
Family Nurse Practitioner	363LF0000X	617313 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1275901340

Bloom Primary Tx, PLLC's National Provider Identifier is 1275901340, issued on Sep 8, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Southlake, TX. The record was last updated on Sep 21, 2026.