Provider Demographics
NPI:1538610480
Name:DUNMEYER, JONATHAN (CSFA)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:DUNMEYER
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16710 CHESTNUT SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4771
Mailing Address - Country:US
Mailing Address - Phone:832-418-7216
Mailing Address - Fax:
Practice Address - Street 1:16710 CHESTNUT SQUARE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4771
Practice Address - Country:US
Practice Address - Phone:832-418-7216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical