Individual
DR. LAURENCE WILLIAM CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
406 PEBBLE BEACH DRIVE, JACKSONVILLE, TX 75766
(432) 221-1111
Mailing address
406 PEBBLE BEACH DRIVE, JACKSONVILLE, TX 75766
(432) 686-6605
(432) 682-2284
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G8685
TX
207RP1001X
Pulmonary Disease Physician
G8685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N64Q
BCBS
TX
05
—
133706506
—
TX
01
—
364290ZV0W
TX MEDICARE
TX
01
—
8U8522
BLUE CROSS
TX
01
—
G8685
STATE LICENSE
TX
01
—
P00422917
RAILROAD MEDICARE
TX
Enumeration date
07/15/2005
Last updated
10/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us