Individual provider · Type 1 NPI
Edgar Bedolla, MD
Plastic and Reconstructive Surgery Physician · Dallas, TX
NPI number
1265691158
Active
Practice location
7777 Forest Ln Ste C818
Dallas, TX 75230-7526
Other practice locations
- 14018 Aesthetic Cir, Houston, TX 77062-2373 · (281) 990-8487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 27188 (OK) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | R7662 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1265691158
Edgar Bedolla, MD's National Provider Identifier is 1265691158, issued on Jun 5, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Dallas, TX. The record was last updated on Jan 12, 2026.