Organization
STEPHANIE P. CUNNINGHAM DO PA
Active
Other names
Advanced Women's Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE P CUNNINGHAM D.O. P.A. (OWNER)
(409) 729-9222
Entity
Organization
Contact information
Practice address
2875 JIMMY JOHNSON BLVD # 100, PORT ARTHUR, TX 77640-2002
(409) 729-9222
(409) 722-9425
Mailing address
2875 JIMMY JOHNSON BLVD # 100, PORT ARTHUR, TX 77640-2002
(409) 729-9222
(409) 722-9425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00194Z
MEDICARE
TX
01
—
092341901
TPI
TX
Enumeration date
06/30/2008
Last updated
01/05/2016
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