Healthcare Provider Details

I. General information

NPI: 1851616924
Provider Name (Legal Business Name): CUNNINGHAM CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 EDGEMERE DR
PLAINVIEW TX
79072-3754
US

IV. Provider business mailing address

2204 EDGEMERE DR
PLAINVIEW TX
79072-3754
US

V. Phone/Fax

Practice location:
  • Phone: 806-293-3130
  • Fax: 806-293-3747
Mailing address:
  • Phone: 806-293-3130
  • Fax: 806-293-3747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2691
License Number StateTX

VIII. Authorized Official

Name: THOMAS N CUNNINGHAM
Title or Position: OWNER
Credential: D.C.
Phone: 806-293-3130