Bedolla, Edgar

Bedolla, Edgar is an individual health care provider with primary practice located at 415 E Southlake Blvd Ste 202 , Southlake TX 76092. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bedolla, Edgar can be contacted via phone (817) 416-8080.

Contact Information

Primary practice address
415 E Southlake Blvd Ste 202 Southlake TX 76092
Phone: (817) 416-8080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27188 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X R7662 Texas

Profile Details

NPI number 1265691158
LBN Legal business name Bedolla, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Aug 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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