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Individual

PAMELA SHENOUDA CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N GRANT AVE, ODESSA, TX 79761-4503
(432) 331-1234
(432) 331-1265
Mailing address
PO BOX 1808, ODESSA, TX 79760-1808
(432) 331-1234
(432) 331-1265

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M0387
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174108401
TX
Enumeration date
11/02/2005
Last updated
05/16/2011
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