Provider Demographics
NPI:1093569352
Name:CUNNINGHAM, ALBERT WILSON III
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:WILSON
Last Name:CUNNINGHAM
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20711 CYPRESS POST DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2142
Mailing Address - Country:US
Mailing Address - Phone:832-723-4821
Mailing Address - Fax:
Practice Address - Street 1:20711 CYPRESS POST DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2142
Practice Address - Country:US
Practice Address - Phone:832-723-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator