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Individual
DR. ROBERT CHANDLER BLEDSOE
Active
Individual
DR. ROBERT CHANDLER BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G4836
TX
207YS0123X
Facial Plastic Surgery Physician
Primary
G4836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89911Z
BCBS PROVIDER ID
TX
Enumeration date
11/14/2006
Last updated
05/11/2023
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