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NPI Code Detail

MEDICARE: D. CUNNINGHAM ENTERPRISES

MEDICARE: D. CUNNINGHAM ENTERPRISES
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
1171W00000XContractor

General Provider Information

NPI Number : 1902009798
Entity Type Code : Organization
Provider Name (Legal Business Name) : D. CUNNINGHAM ENTERPRISES
Provider Business Mailing Address
First Line : 114 CEDAR VALLEY LN
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-1324
Country : US
Telephone Number : 917-938-9587
Fax Number : 817-987-2632
Provider Business Practice Location Address
First Line : 903 GLYNN OAKS DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-5819
Country : US
Telephone Number : 817-938-9587
Fax Number : 817-987-2632
Authorized Official
Title or Position : ADMINISTRATOR
Name : DENESE CUNNINGHAM
Credential :
Telephone Number : 817-938-9587
Provider Enumeration Date : 06/08/2007
Last Update Date : 08/22/2020

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Directions to “D. CUNNINGHAM ENTERPRISES ” Practice Location

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