Individual
DR. GLENN R CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 MAIN ST, HOUSTON, TX 77030-2348
(713) 798-2500
(713) 798-2505
Mailing address
6620 MAIN ST, HOUSTON, TX 77030-2348
(713) 798-2500
(713) 798-2505
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E1548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124534201
—
TX
Enumeration date
10/17/2006
Last updated
10/03/2011
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