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Individual

DR. LINDA F. CUNNINGHAM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3500 CAMP BOWIE BLVD, EAD 318, FORT WORTH, TX 76107-2644
(817) 735-2429
Mailing address
UNTHSC DEPT. OF QUALITY MANAGEMENT, 3500 CAMP BOWIE BLVD. EAD 324, FORT WORTH, TX 76107-2699
(817) 735-0111

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G6654
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81P833
BLUE CROSS AND BLUE SHIEL
TX
Enumeration date
03/14/2006
Last updated
07/09/2007
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