Provider Demographics
NPI:1376171751
Name:CUNICO, JOREY ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:JOREY
Middle Name:ALAN
Last Name:CUNICO
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Gender:M
Credentials:DO
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Mailing Address - Street 1:SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-M,
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY, 3551 ROGER BROOKE DR.
Mailing Address - City:JBSA-FORT SAM HOUSTON,
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-292-7805
Mailing Address - Fax:210-292-7868
Practice Address - Street 1:SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-N,
Practice Address - Street 2:NEUROLOGY RESIDENCY, 3551 ROGER BROOKE DR.
Practice Address - City:JBSA-FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-2203
Practice Address - Fax:210-292-3833
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2022-03-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE2532208D00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice