Jacob Dudley, RDN, LDN is a
Dietitian, Registered based in Crandall, Texas. Jacob Dudley is licensed to practice in Texas (license number DT85759) and his current practice location is
8980 Par Five Dr, Crandall, Texas. He can be reached at his office (for appointments etc.) via phone at
(469) 677-8508.
NPI number for Jacob Dudley is 1538000823 and his current mailing address is 8980 Par Five Dr, Crandall, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538000823.
Healthcare Provider's Profile
| Full Name | Jacob Dudley |
|---|
| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 8980 Par Five Dr, Crandall, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538000823
- Provider Enumeration Date: 04/02/2026
- Last Update Date: 04/02/2026
Medical Identifiers
Medical identifiers for Jacob Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538000823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT85759 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Dudley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacob Dudley, RDN, LDN 8980 Par Five Dr, Crandall, TX 75114-4426 Ph: (469) 677-8508 | Jacob Dudley, RDN, LDN 8980 Par Five Dr, Crandall, TX 75114-4426 Ph: (469) 677-8508 |
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