Individual
DONALD W BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
6560 FANNIN ST, SUITE # 802, HOUSTON, TX 77030-2761
(713) 441-4871
Mailing address
6560 FANNIN ST STE 802, HOUSTON, TX 77030-2726
(713) 441-3780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
618904
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP114175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180798402
—
TX
Enumeration date
06/04/2006
Last updated
10/18/2017
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