EDWIN A DUDOUSSAT IV
NPI 1831891498
Student in an Organized Health Care Education/Training Program in Denton, TX

Active since March 20, 2023PECOS Enrolled
3535 S INTERSTATE 35 E, DENTON, TX 76210(940) 384-3013 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Edwin A Dudoussat Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWIN A DUDOUSSAT IV (NPI 1831891498) is an individual student in an organized health care education/training program in Denton, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831891498
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWIN A DUDOUSSAT IV
Location Address3535 S INTERSTATE 35 EDenton, TX 76210-6850
Mailing Address3535 S Interstate 35 EDenton, TX 76210-6850 · (940) 384-3013
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 19, 2023
NPI 1831891498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3535 S INTERSTATE 35 E, Denton, TX 76210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edwin A Dudoussat Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3535 S INTERSTATE 35 E
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E, DENTON REGIONAL MEDICAL CENTER
DENTON, TX 76210
Internal Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Student in an Organized Health Care Education/Training Program
3535 S INTERSTATE 35 E
DENTON, TX 76210
Emergency Medicine
3535 S INTERSTATE 35 E
DENTON, TX 76210
Physical Therapist
3535 S INTERSTATE 35 E
DENTON, TX 76210
Student in an Organized Health Care Education/Training Program
3535 S INTERSTATE 35 E
DENTON, TX 76210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Dudoussat's NPI number?

The NPI number for Edwin Dudoussat is 1831891498. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Edwin Dudoussat located?

Edwin Dudoussat practices at 3535 S Interstate 35 E, Denton, TX 76210. The listed phone number is (940) 384-3013.

What is Edwin Dudoussat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edwin Dudoussat enrolled in Medicare?

Yes. Edwin Dudoussat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Dudoussat was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.