Provider Demographics
NPI:1609310580
Name:BUMSTEAD, ANA (DC)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:BUMSTEAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 N MAIN ST.
Mailing Address - Street 2:815
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7362
Mailing Address - Country:US
Mailing Address - Phone:409-227-0282
Mailing Address - Fax:
Practice Address - Street 1:815 N MAIN ST.
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7362
Practice Address - Country:US
Practice Address - Phone:409-227-0282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor