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Contact Information

RICKIE BLEDSOE
2435 COLLEGE DR
TEXARKANA, TX75501
 Phone: 903-255-1241
 Fax: 903-223-8407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RICKIE BLEDSOE · (Female)

NPI # 1184177222
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2016
Last updated 07/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 11135
  • TX Other 11135 LCDC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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