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Next Update: Thursday, December 19, 2024 12:00 PM CST
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BLOOM, ROBERT ALLAN
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
416 S. HENDERSON ST.
FORT WORTH TX 76104-1017
Address last updated on 5/22/2015 |
| Phone #: |
(817) 338-4636 |
| Fax #: |
(817) 335-5421 |
| County: |
NOT OKLAHOMA |
| License: |
30080 |
| Dated: |
6/27/2013 |
| Expires: |
6/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Graduated: |
6 /
1972 |
| CME Year: |
2016 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF UROLOGY |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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| Locations: |
Hours: |
Languages: |
416 S. HENDERSON ST.
FORT WORTH TX 76104-1017
Phone #:
(817) 338-4636
Fax #:
(817) 335-5421 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00AM
Sat:
Sun: |
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