Provider Demographics
NPI:1598578163
Name:CUNNINGHAM, PAMELA H
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:H
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14510 LONE WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1880
Mailing Address - Country:US
Mailing Address - Phone:281-835-0954
Mailing Address - Fax:
Practice Address - Street 1:14510 LONE WILLOW LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1880
Practice Address - Country:US
Practice Address - Phone:281-224-5062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider