Organization
LAKEWAY DERMATOLOGY AND SKIN CANCER
Active
Organization
LAKEWAY DERMATOLOGY AND SKIN CANCER
Active
Other names
MARY ANA CUNNINGHAM
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANA CUNNINGHAM M.D. (PRESIDENT)
(512) 263-0057
Entity
Organization
Contact information
Practice address
1313 RR 620 SOUTH, SUITE 201, LAKEWAY, TX 78734-6333
(512) 263-0057
(512) 263-0221
Mailing address
3464 RR 620 S, BEE CAVE, TX 78738-6805
(512) 263-0057
(512) 263-0221
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K5280
TX
Other
Enumeration date
10/18/2006
Last updated
08/31/2016
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