Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Douglas Ivan Dusenberry, PA-C

Individual provider Surgical Physician Assistant · NPI 1790764678

Mr. Douglas Ivan Dusenberry, PA-C is a Surgical Physician Assistant in Jbsa Ft Sam Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA04877 (TX)

Record details

NPI number1790764678
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 10, 2006
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021

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