Provider Demographics
NPI:1427444017
Name:DUMAS, ANTHONY JR
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:DUMAS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8433 FM 1464 RD # C-5
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1102
Mailing Address - Country:US
Mailing Address - Phone:713-703-8082
Mailing Address - Fax:
Practice Address - Street 1:8433 FM 1464 RD # C-5
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1102
Practice Address - Country:US
Practice Address - Phone:713-703-8082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277134247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist