Individual
DR. KRISTA DAWN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, PATHOLOGY DEPT. MARY MOODY NORTHERN, GALVESTON, TX 77555-5302
(409) 772-2870
(409) 747-2400
Mailing address
1808 POSTOFFICE STREET, REAR UNIT, GALVESTON, TX 77550-4818
(409) 763-6088
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP1-0032056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0032056
TEXAS MEDICAL BOARD POSTGRADUATE TRAINING PERMIT
TX
Enumeration date
07/02/2008
Last updated
07/02/2008
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