MEDICARE: DR. JENNIFER LORI CUNNINGHAM-FARBSTEIN M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L7700	TX
2	207RP1001X	Pulmonary Disease Physician	L7700	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00719209	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396850798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LORI CUNNINGHAM-FARBSTEIN M.D.

Provider Business Mailing Address
First Line	:	8403 LORRIE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3236
Country	:	US
Telephone Number	:	713-397-6936
Fax Number	:	866-459-2296

Provider Business Practice Location Address
First Line	:	8403 LORRIE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3236
Country	:	US
Telephone Number	:	713-397-6936
Fax Number	:	866-459-2296

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/05/2016

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