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Contact Information

LAURENCE W CUNNINGHAM, DO
406 PEBBLE BEACH DRIVE
JACKSONVILLE, TX75766
 Phone: 432-221-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAURENCE W CUNNINGHAM · (Male)

NPI Number 1326047952
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/15/2005
Last updated 10/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # G8685
  • TX Medicaid 133706506
  • TX Other 00N64Q BCBS
  • TX Other 8U8522 BLUE CROSS
  • TX Other P00422917 RAILROAD MEDICARE
  • TX Other G8685 STATE LICENSE
  • TX Other 364290ZV0W TX MEDICARE
Hospital affiliation(s)
  • EAST TEXAS MEDICAL CENTER JACKSONVILLE - (Acute Care)
    501 S RAGSDALE
    JACKSONVILLE, TX 75766
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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