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DUMAS FAMILY PRACTICE LLC NPI 1679655153


NPI Information

NPI: 1679655153
Provider Name: DUMAS FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D0702457

Address:
120 BEARD AVE
DUMAS, TX
ZIP 79029
Phone: (806) 935-9005
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DUMAS FAMILY PRACTICE, LLC is a rural health clinic center in Dumas, TX. DUMAS FAMILY PRACTICE, LLC NPI is 1679655153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 BEARD AVE
DUMAS, TX
ZIP 79029-003
Phone: (806) 935-9005
Fax: (806) 395-5885

The provider's authorized official is Chris L Bunch .
The authorized official title is Owner and has the following contact phone number (806) 935-9005.

The CLIA number assigned to this NPI record is 45D0702457 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthH8594TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1453944MEDICARE ID-TYPE UNSPECIFIEDRHC MEDICARE #
2112651802MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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