Organization
PAMELA S. CUNNINGHAM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CUNNINGHAM (PRESIDENT)
(432) 331-1234
Entity
Organization
Contact information
Practice address
600 N GRANT AVE, SUITE 200, ODESSA, TX 79761-4503
(432) 331-1234
Mailing address
PO BOX 1808, ODESSA, TX 79760-1808
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M0387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174107601
—
TX
Enumeration date
10/18/2007
Last updated
05/16/2011
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