Individual
DR. JOHN RYAN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 MENGER SPGS STE 1100, BOERNE, TX 78006-7219
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR STE 700, SAN ANTONIO, TX 78229-3327
(210) 614-1234
(210) 614-0952
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P4434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374576202
—
TX
Enumeration date
04/06/2007
Last updated
12/08/2021
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