MEDICARE: DR. JOSHUA MACGREGOR RUDES AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	81714	TX
2	231HA2400X	Assistive Technology Practitioner Audiologist	81714	TX
3	231HA2500X	Assistive Technology Supplier Audiologist	81714	TX

General Provider Information

NPI Number	:	1811850464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA MACGREGOR RUDES AUD

Provider Business Mailing Address
First Line	:	4320 WINDSOR CENTRE TRL STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1885
Country	:	US
Telephone Number	:	972-691-0368
Fax Number	:	817-355-4508

Provider Business Practice Location Address
First Line	:	4320 WINDSOR CENTRE TRL STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1885
Country	:	US
Telephone Number	:	972-691-0368
Fax Number	:	817-355-4508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	03/24/2026

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