Provider Demographics
NPI:1144969288
Name:BLOOM CONCIERGE SERVICES, PLLC
Entity type:Organization
Organization Name:BLOOM CONCIERGE SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, C/NDT
Authorized Official - Phone:806-252-4553
Mailing Address - Street 1:3431 BROADMEAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3702
Mailing Address - Country:US
Mailing Address - Phone:806-252-4553
Mailing Address - Fax:
Practice Address - Street 1:5206 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3915
Practice Address - Country:US
Practice Address - Phone:713-553-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty