Provider Demographics
NPI:1942256086
Name:CUNNINGHAM, MARGARET (DC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-8326
Mailing Address - Country:US
Mailing Address - Phone:903-596-0603
Mailing Address - Fax:903-596-0620
Practice Address - Street 1:508 E FRONT ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8214
Practice Address - Country:US
Practice Address - Phone:903-593-4206
Practice Address - Fax:903-593-4289
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5956111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R1725OtherBCBS
TX8P2248OtherBCBS
TX8J3149OtherBCBS
TX8P5608OtherBCBS
TX8M8888OtherBCBS
TX8P5608OtherBCBS
TX8M8888OtherBCBS
TX8R1725OtherBCBS