Individual
CHAD A. PEDLEY
Active
Individual
CHAD A. PEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187861
—
LA
05
—
175805401
—
TX
05
—
175805403
—
TX
01
—
8AV567
BLUE CROSS - NORTH CYPRESS ANESTHESIOLGY ASSOC.
TX
01
—
8R6026
BLUE CROSS
TX
01
—
P00355365
RAILROAD - MEDICARE
TX
Enumeration date
01/16/2007
Last updated
07/24/2020
Update your record
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