MEDICARE: DAWN LEA CUNNINGHAM ROETHER RN, LP

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	146L00000X	Paramedic	14706	TX
2	163W00000X	Registered Nurse	705360	TX

General Provider Information

NPI Number	:	1356272819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN LEA CUNNINGHAM ROETHER RN, LP

Provider Business Mailing Address
First Line	:	1640 COIT RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6163
Country	:	US
Telephone Number	:	214-473-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 COIT RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6163
Country	:	US
Telephone Number	:	214-473-7581
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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