MEDICARE: DR. TROY DUMAIS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	14570	TX

General Provider Information

NPI Number	:	1366140436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TROY DUMAIS DC

Provider Business Mailing Address
First Line	:	2425 CHESTNUT DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5708
Country	:	US
Telephone Number	:	469-486-1344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 CHESTNUT DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5708
Country	:	US
Telephone Number	:	469-486-1344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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