NPI Profile for EDGAR BEDOLLA in DALLAS, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1265691158 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/05/2008 | |
| Last updated | 01/12/2026 - About 5 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDGAR BEDOLLA
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