Individual
NICHOLAS CYRIL DCUNHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8602
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7702
TX
207RH0003X
Hematology & Oncology Physician
Primary
L7702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132035100
—
TX
01
—
132035101
FIRSTCARE COMMERCIAL
TX
05
—
156575601
—
TX
05
—
156575602
—
TX
05
—
200002960A
—
TX
05
—
40873251
—
NM
01
—
82190
PRESYBTERIAN COMMERCIAL
NM
05
—
82190
—
NM
01
—
87226Z
HMO BLUE
TX
01
—
8H3320
BC/BS
TX
01
—
A558
TRIWEST
—
Enumeration date
10/17/2005
Last updated
11/10/2021
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