Edgar Bedolla is a Surgery in Southlake, Texas. Edgar Bedolla practices all healthcare services and medical treatments related to Surgery. The NPI Number for Edgar Bedolla is 1265691158. The last update date is 2018-08-25.
Edgar Bedolla's current location address is 415 E Southlake Blvd Ste 202, Southlake, Texas. You can contact this provider via phone number 8174168080. The mailing address for Edgar Bedolla is 415 E Southlake Blvd Ste 202, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Bedolla |
|---|---|
| Address | 415 E Southlake Blvd Ste 202, Southlake, Texas |
| Phone Number | 8174168080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265691158 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2018-08-25 |
Provider Mailing Address Detail
| Address | 415 E Southlake Blvd Ste 202 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926280 |
| Phone Number | 8174168080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 27188 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the unique identification code assigned to Edgar Bedolla by the Centers for Medicare & Medicaid Services?
The Edgar Bedolla has been issued the NPI (National Provider Identifier) 1265691158. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edgar Bedolla?
The Edgar Bedolla is situated at 415 E Southlake Blvd Ste 202, in the city of Southlake, state of TX, with the zip code 760926280.
What is Edgar Bedolla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edgar Bedolla is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did Edgar Bedolla receive its 1265691158 assignment from the Centers for Medicare & Medicaid Services?
The Edgar Bedolla was assigned its 1265691158 on 2008-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Edgar Bedolla last refreshed?
The information related to the Edgar Bedolla, including its address, specialty, and other relevant details, was last updated on 2018-08-25.