# CUNNINGHAM MEDICAL SUPPLIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790128023
- **Authorized official:** MR. BRYCE CUNNINGHAM D.C. (PRESIDENT)
- **Authorized official phone:** (512) 694-1770

## Contact information

- **Practice address:** 15800 W DORMAN DR, AUSTIN, TX 78717-5469
- **Practice address phone:** (512) 694-1770
- **Practice address fax:** (512) 248-9451
- **Mailing address:** 15800 W DORMAN DR, AUSTIN, TX 78717-5469
- **Mailing address phone:** (512) 694-1770
- **Mailing address fax:** (512) 248-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | Yes |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 04/17/2013