Basic Information
Provider Information
NPI: 1427342922
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUMAS
FirstName: RYAN
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5323 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 753909158
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5323 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 75390
CountryCode: US
TelephoneNumber: 2146483111
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2011
LastUpdateDate: 07/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102XR7715TXN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127XR7715TXN Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
208600000XR7715TXY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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