Individual
BEDIOLA A BADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2617 SCRIPTURE ST, SUITE #101, DENTON, TX 76201-2311
(940) 382-4142
(940) 382-7620
Mailing address
2617 SCRIPTURE ST, SUITE #101, DENTON, TX 76201-2311
(940) 382-4142
(940) 382-7620
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E6962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J3452
BLUECROSS/BLUESHIELD
TX
Enumeration date
07/26/2005
Last updated
04/29/2009
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