Individual provider · Type 1 NPI
Robert Chandler Bledsoe, MD
Facial Plastic Surgery Physician · Grapevine, TX
NPI number
1396817409
Active
Practice location
1600 W College St Ste 380
Grapevine, TX 76051-3583
Fax (817) 481-1378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | G4836 (TX) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | G4836 (TX) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1396817409
Robert Chandler Bledsoe, MD's National Provider Identifier is 1396817409, issued on Nov 14, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Grapevine, TX. The record was last updated on May 11, 2023.