MEDICARE: DAVID DODGIN M.D.

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	207X00000X	Orthopaedic Surgery Physician	N4383	TX

General Provider Information

NPI Number	:	1821047200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DODGIN M.D.

Provider Business Mailing Address
First Line	:	4611 GUADALUPE ST STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2928
Country	:	US
Telephone Number	:	512-476-2830
Fax Number	:	512-476-2832

Provider Business Practice Location Address
First Line	:	4611 GUADALUPE ST
Second Line	:	STE 200
City	:	AUSTIN
State	:	TX
Zip	:	78751-2908
Country	:	US
Telephone Number	:	512-476-2830
Fax Number	:	512-583-1099

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/29/2026

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Directions to “ DAVID DODGIN M.D.” Practice Location

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