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Edgar Bedolla, MD
Plastic and Reconstructive Surgery Physician in Southlake, Texas
NPI 1265691158

Edgar Bedolla is a Plastic and Reconstructive Surgery Physician based in Southlake, TX and is specialized in Plastic and Reconstructive Surgery. Edgar Bedolla practices in Southlake, TX and has the professional credentials of MD. The NPI Number for Edgar Bedolla is 1265691158 and holds a License No. 27188 (Texas).

The current practice location address for Edgar Bedolla is 415 E Southlake Blvd Ste 202, Southlake, TX and can be reached out via phone at 817-416-8080.

Location: 415 E Southlake Blvd Ste 202, Southlake, TX, 76092-6280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265691158
Provider Name
Edgar Bedolla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 E Southlake Blvd Ste 202, Southlake, TX, 76092-6280
Phone Number
817-416-8080
Fax Number
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 E Southlake Blvd Ste 202
City
Southlake
State
Texas
Zip
76092
Phone Number
817-416-8080
Fax Number
person
Provider Business Mailing Address Details
Address
415 E Southlake Blvd Ste 202
City
Southlake
State
Texas
Zip
76092
Phone Number
817-416-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
R7662 (Texas)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
27188 (Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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