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Dr. Robert Chandler Bledsoe, MD
Facial Plastic Surgery Physician in Grapevine, Texas
NPI 1396817409

Robert Chandler Bledsoe is a Facial Plastic Surgery Physician based in Grapevine, TX and is specialized in Facial Plastic Surgery. Robert Chandler Bledsoe practices in Grapevine, TX and has the professional credentials of MD. The NPI Number for Robert Chandler Bledsoe is 1396817409 and holds a License No. G4836 (Texas).

The current practice location address for Robert Chandler Bledsoe is 1600 W College St Ste 380, Grapevine, TX and can be reached out via phone at 817-481-0868 and via fax at 817-481-1378.

Location: 1600 W College St Ste 380, Grapevine, TX, 76051-3583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396817409
Provider Name
Robert Chandler Bledsoe
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 W College St Ste 380, Grapevine, TX, 76051-3583
Phone Number
817-481-0868
Fax Number
817-481-1378
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89911Z 01 TX BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1600 W College St Ste 380
City
Grapevine
State
Texas
Zip
76051-3583
Phone Number
817-481-0868
Fax Number
817-481-1378
person
Provider Business Mailing Address Details
Address
1600 W College St Ste 380
City
Grapevine
State
Texas
Zip
76051-3583
Phone Number
817-481-0868
Fax Number
817-481-1378
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G4836 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
G4836 (Texas)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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