Bledsoe, Robert Chandler

Bledsoe, Robert Chandler is an sole proprietor health care provider with primary practice located at 1600 W College St Ste 380 , Grapevine TX 76051-3583. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Bledsoe, Robert Chandler can be contacted via phone (817) 481-0868.

Contact Information

Primary practice address
1600 W College St Ste 380 Grapevine TX 76051-3583
Phone: (817) 481-0868
Fax: (817) 481-1378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G4836 Texas
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X G4836 Texas

Profile Details

NPI number 1396817409
LBN Legal business name Bledsoe, Robert Chandler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated May 11th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396817409 NPPES
Texas Other 89911Z BCBS PROVIDER ID

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