Individual
DR. ROBERT CHANDLER BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W COLLEGE ST STE 380, GRAPEVINE, TX 76051-3583
(817) 481-0868
(817) 481-1378
Mailing address
1600 W COLLEGE ST STE 380, GRAPEVINE, TX 76051-3583
(817) 481-0868
(817) 481-1378
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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