Provider Demographics
NPI:1568457430
Name:CUNNINGHAM, THOMAS NEAL (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:NEAL
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 EDGEMERE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-3754
Mailing Address - Country:US
Mailing Address - Phone:806-293-3130
Mailing Address - Fax:806-293-3747
Practice Address - Street 1:2204 EDGEMERE DR
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-3754
Practice Address - Country:US
Practice Address - Phone:806-293-3130
Practice Address - Fax:806-293-3747
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT12860Medicare UPIN
TX600966Medicare ID - Type Unspecified