Individual
DR. JAYSON DAVID AYDELOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 TRINITY ST STE 704F, AUSTIN, TX 78712-1765
(512) 324-7873
(512) 380-7503
Mailing address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD036265
DC
2086S0102X
Surgical Critical Care Physician
MD036265
DC
2086S0102X
Surgical Critical Care Physician
Primary
N8483
TX
2086S0127X
Trauma Surgery Physician
MD036265
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281458401
—
TX
01
—
281458402
CSHCN
TX
05
—
281458403
—
TX
Enumeration date
11/08/2005
Last updated
10/08/2025
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