Healthcare Provider Details

I. General information

NPI: 1932875028
Provider Name (Legal Business Name): CHRISTINE HELEN DUMOND MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 BARBARA JORDAN BLVD STE 401
AUSTIN TX
78723-3078
US

IV. Provider business mailing address

1301 BARBARA JORDAN BLVD STE 401
AUSTIN TX
78723-3078
US

V. Phone/Fax

Practice location:
  • Phone: 512-628-1810
  • Fax: 512-628-2257
Mailing address:
  • Phone: 512-628-1810
  • Fax: 512-628-2257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number1008025
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1008025
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: