Individual provider · NPI-1

Albert Wilson Cunningham III

Case Manager/Care Coordinator · Cypress, TX

NPI number1093569352
StatusActive
Last updated in NPPESApr 15, 2024

Details

NPI
1093569352
Entity type
Individual (NPI-1)
Name
Mr. Albert Wilson Cunningham III
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 15, 2024
Certification date
Apr 14, 2024
Last updated
Apr 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

20711 Cypress Post Dr
Cypress, TX 77433-2142

Phone 832-723-4821

Mailing address

20711 Cypress Post Dr
Cypress, TX 77433-2142

Phone 832-723-4821

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