Individual
PAUL YORK CUNNINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17183 I 45 S STE 640, SHENANDOAH, TX 77385-3316
(936) 270-3933
Mailing address
17183 I 45 S STE 640, SHENANDOAH, TX 77385-3316
(936) 270-3933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2299
TX
207RC0000X
Cardiovascular Disease Physician
M2299
TX
207RI0011X
Interventional Cardiology Physician
Primary
M2299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217320503
—
TX
Enumeration date
03/12/2009
Last updated
09/18/2018
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